Wilbur D Livingston Jr, MD | |
1780 Medical Park Dr, Rock Hill, SC 29732-1194 | |
(803) 327-1116 | |
(803) 327-6872 |
Full Name | Wilbur D Livingston Jr |
---|---|
Gender | Male |
Speciality | Urology |
Location | 1780 Medical Park Dr, Rock Hill, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942374509 | NPI | - | NPPES |
89136H0 | Medicaid | NC | |
279865 | Other | SC | MAMSI |
760696 | Other | SC | GREAT WEST |
7906087 | Medicaid | NC | |
27149 | Other | SC | MEDCOST |
00041111 | Other | SC | AETNA |
1905792 | Other | SC | UNITED HEALTHCARE |
106227 | Medicaid | SC | |
136H0 | Other | NC | BCBS OF NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 10622 (South Carolina) | Primary |
208800000X | Urology | 30061 (North Carolina) | Secondary |
Entity Name | Stone Institute Of The Carolinas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457377954 PECOS PAC ID: 3173412533 Enrollment ID: O20040312001126 |
Mailing Address | Practice Location Address |
---|---|
Wilbur D Livingston Jr, MD 9735 Kincey Ave, Suite 201, Huntersville, NC 28078-9118 Ph: (704) 414-2870 | Wilbur D Livingston Jr, MD 1780 Medical Park Dr, Rock Hill, SC 29732-1194 Ph: (803) 327-1116 |
Matthew Newsome, MD Urology Medicare: Medicare Enrolled Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872 | |
Terry H Ezell, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872 | |
Ashima Singal, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 033-271-1168 Fax: 803-327-6872 | |
Dr. Christian E Magura, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872 | |
Thomas H Douglas, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872 | |
David K Wright, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872 | |
Albert G Leroy Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872 |