Individual provider · Type 1 NPI

Joan Liverpool, MD

Student in an Organized Health Care Education/Training Program · Stone Mountain, GA

NPI number 1144977703 Active

Practice location

424 Orchards Walk
Stone Mountain, GA 30087-4722

Call (770) 256-0356 Map

Mailing address

3055 Constellation Dr
Melbourne, FL 32940-2361

Other practice locations

  • 3055 Constellation Dr, Melbourne, FL 32940-2361

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144977703

Joan Liverpool, MD's National Provider Identifier is 1144977703, issued on Mar 3, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stone Mountain, GA. The record was last updated on Mar 3, 2022.