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Individual

MR. EDWARD LIVINGSTON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC-L/MS

Contact information

Practice address
5353 REYNOLDS ST, ST. JOSPEH'S/CANDLER SPORTS MEDINCE, SAVANNAH, GA 31405
(912) 657-3978
Mailing address
94 HIDDEN LAKE CT, SAVANNAH, GA 31419-1667
(912) 655-4311

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001024
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
976259
NATA MEMBER NUMBER
Enumeration date
04/26/2006
Last updated
07/08/2007
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