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NPI Code Detail

MEDICARE: JOSEPH T LIVERMAN MD

MEDICARE:   JOSEPH T LIVERMAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician9838NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
280062827OTHERNCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34693185OTHERNCCIGNA HEALTHCARE
452310OTHERNCBCBSNC
527143OTHERNCMEDCOST

General Provider Information

NPI Number : 1548254337
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH T LIVERMAN MD
Provider Business Mailing Address
First Line : 111 W CHURCH ST
Second Line :
City : NASHVILLE
State : NC
Zip : 27856-1327
Country : US
Telephone Number : 252-459-4012
Fax Number : 252-459-9773
Provider Business Practice Location Address
First Line : 111 W CHURCH ST
Second Line :
City : NASHVILLE
State : NC
Zip : 27856-1327
Country : US
Telephone Number : 252-459-4012
Fax Number : 252-459-9773
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 02/22/2011

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Directions to “ JOSEPH T LIVERMAN MD” Practice Location

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