| Organization Name: | LIVINGSTON CLINIC, INC. |
| NPI Number: | 1649548694 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM RUSS SIMPKINS (PRESIDENT) |
| Mailing Address: | 107 Hospital Dr Po Drawer T Livingston |
| State: | AL US |
| Postal Code: | 354705742 |
| Phone Number: | 2056522686 |
| Fax Number: | 2056527093 |
| NPI Enumeration Date: | 12/06/2011 |
| NPI Last Update Date: | 12/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5674 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |