Liveon Medical Center

LBN: Liveon One, Llc
Liveon Medical Center is an health care organization with primary practice located at 80 Vinings Dr , Mcdonough GA 30253-5994. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Liveon One, Llc can be contacted via phone (770) 302-6780, or through Fletcher, Ernie via phone (770) 302-6780.

Contact Information

Primary practice address
80 Vinings Dr Mcdonough GA 30253-5994
Phone: (770) 302-6780
Fax: (678) 782-3776
Website:
Map and Directions
Authorized official contact:
Name: Fletcher, Ernie Doctor of Medicine (MD)
Phone: (770) 302-6780

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 64538 Georgia

Profile Details

NPI number 1265770515
LBN Legal business name Liveon One, Llc
DBA Doing business as Liveon Medical Center
Authorized official Fletcher, Ernie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2013
Last updated Mar 13th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265770515 NPPES
Georgia MEDICAID 003201616A
Georgia Other 202G708497

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