# METAMORPHOSIS MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538458690
- **Authorized official:** DR. DEBORAH LYN LEVICH MD (CEO)
- **Authorized official phone:** (678) 218-1710

## Contact information

- **Practice address:** 1792 WOODSTOCK RD, BLDG 300, ROSWELL, GA 30075-2199
- **Practice address phone:** (678) 218-1710
- **Practice address fax:** (678) 218-1714
- **Mailing address:** 1792 WOODSTOCK RD, BLDG 300, ROSWELL, GA 30075-2199
- **Mailing address phone:** (678) 218-1710
- **Mailing address fax:** (678) 218-1714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 044520 | GA | Yes |

## Other

- **Enumeration date:** 03/29/2011
- **Last updated:** 03/29/2011