Individual
JOHN LIVESAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 HOSPITAL DR, HENDERSONVILLE, NC 28792-5272
(828) 684-8501
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
255596
NC
Other
Enumeration date
05/13/2019
Last updated
05/22/2019
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