Individual
DR. DWAYNE J LIVIGNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2829 E HIGHWAY 76, MULLINS, SC 29574-6035
(843) 661-6215
(828) 360-3080
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
000520
CT
207L00000X
Anesthesiology Physician
Primary
DO1614
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001005207
—
CT
01
—
8Q6531
EMPIRE BC
NY
Enumeration date
05/12/2006
Last updated
12/21/2016
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