Provider Demographics
NPI:1568874303
Name:LIVINGSTON, ERIN NEWMAN (MD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:NEWMAN
Last Name:LIVINGSTON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 EARL FRYE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:AMORY
Mailing Address - State:MS
Mailing Address - Zip Code:38821-5507
Mailing Address - Country:US
Mailing Address - Phone:662-328-9331
Mailing Address - Fax:662-270-6003
Practice Address - Street 1:900 EARL FRYE BLVD STE A
Practice Address - Street 2:
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-5507
Practice Address - Country:US
Practice Address - Phone:662-328-9331
Practice Address - Fax:662-270-6003
Is Sole Proprietor?:No
Enumeration Date:2014-05-28
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS250652080P0204X
MST-2825208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS06521577Medicaid