OrganizationActive
Live Healthy MD LLC
NPI 1447521661 · Preventive Medicine/Occupational Environmental Medicine Physician · Augusta, GA
Provider details
- NPI number
- 1447521661
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Live Healthy MD LLC
- Organization subpart
- Yes
- Authorized official
- Edward Boland, Physician(706) 922-0440
- License
- 40826 (GA)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense 40826 (GA)
Allopathic & Osteopathic Physicians
Practice location
3830 Washington Rd
Ste 17
Augusta, GA 30907-5064
Phone: (706) 922-0440
Fax: (706) 922-0441
Approximate (ZIP-level) locationGet directions
Mailing address
2101 Central Ave
Augusta, GA 30904-6706
Registry dates
- Enumerated
- 2012-01-19
- Last updated
- 2012-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.