Provider Demographics
NPI:1649528134
Name:LLIVINA & HARRIGILL, M.D., P.C.
Entity type:Organization
Organization Name:LLIVINA & HARRIGILL, M.D., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:HARRIGILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-838-1811
Mailing Address - Street 1:48 MEDICAL PARK DR E
Mailing Address - Street 2:SUITE 458
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3400
Mailing Address - Country:US
Mailing Address - Phone:205-838-1811
Mailing Address - Fax:205-838-4252
Practice Address - Street 1:48 MEDICAL PARK DR E
Practice Address - Street 2:SUITE 458
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3400
Practice Address - Country:US
Practice Address - Phone:205-838-1811
Practice Address - Fax:205-838-4252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty