Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 30250 | AL |
NPI | 1043233091 |
---|---|
Provider Name | Dr. William J Livingston III |
First Address | Alabaster, AL 35007-8608 |
Second Address | Alabaster, AL 35007-8608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 06/01/2012 |