Individual
DR. RICHARD WEAVER LIVINGSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
363 N BELAIR RD, EVANS, GA 30809
(706) 650-7563
(706) 650-0512
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 922-6695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040724
GA
207Q00000X
Family Medicine Physician
Primary
40724
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00905099A
—
GA
01
—
10056154
AMERIGROUP
GA
01
—
336994
WELLCARE
GA
01
—
40724
LICENSE
GA
05
—
G40724
—
SC
Enumeration date
06/08/2006
Last updated
04/20/2026
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