Search › Alabama › 208000000X
Austin Lively, M.D
NPI 1871976639 · on the registry since 2015
Practice
- Address
- 1359 Old Water Works Rd Sw
Fort Payne, AL 35968 - Phone
- (256) 997-5900
- Fax
- (888) 977-1691
- Organisation at this address
- Fort Payne Pediatrics, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 208000000X
208000000X - Licence states on file
- GA, AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama