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Individual
CARLOS A LEVY-ELICEIRI
Active
Individual
CARLOS A LEVY-ELICEIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PA
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
019967
GA
208D00000X
General Practice Physician
Primary
019967
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00176272A
—
GA
Enumeration date
09/22/2005
Last updated
10/05/2018
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