Lively, Austin

Lively, Austin is an individual health care provider with primary practice located at 1359 Old Water Works Rd Sw , Fort Payne AL 35968-3347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lively, Austin can be contacted via phone (256) 997-5900.

Contact Information

Primary practice address
1359 Old Water Works Rd Sw Fort Payne AL 35968-3347
Phone: (256) 997-5900
Fax: (888) 977-1691
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 080335 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 7481 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37983 Alabama

Profile Details

NPI number 1871976639
LBN Legal business name Lively, Austin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2015
Last updated Aug 5th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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