Individual
MELISSA LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
86 JONATHAN LUCAS ST FL 2, CHARLESTON, SC 29425-8900
(843) 792-9300
Mailing address
463 WOODGATE WAY, SUMMERVILLE, SC 29485-7483
(559) 246-2317
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
270808
SC
363LF0000X
Family Nurse Practitioner
Primary
29647
SC
Other
Enumeration date
11/04/2024
Last updated
12/16/2024
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