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NPI Code Detail

MEDICARE: LIVEWELL FAMILY MEDICINE LLC

MEDICARE: LIVEWELL FAMILY MEDICINE LLC
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 Physician

General Provider Information

NPI Number : 1639384662
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIVEWELL FAMILY MEDICINE LLC
Provider Business Mailing Address
First Line : 7736 MADISON BLVD
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35806-2085
Country : US
Telephone Number : 256-830-8930
Fax Number : 256-830-9166
Provider Business Practice Location Address
First Line : 7736 MADISON BLVD
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35806-2085
Country : US
Telephone Number : 256-830-8930
Fax Number : 256-830-9166
Authorized Official
Title or Position : MEMBER LLC
Name : DR. KRISTOPHER N. JONES
Credential : MD
Telephone Number : 256-830-8930
Provider Enumeration Date : 05/12/2007
Last Update Date : 04/01/2008

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Directions to “LIVEWELL FAMILY MEDICINE LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.