Individual
DR. MATHEW LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 NORTHSIDE FORSYTH DR, SUITE 340, CUMMING, GA 30041-6012
(770) 886-8111
(770) 205-8539
Mailing address
1100 NORTHSIDE FORSYTH DR, SUITE 340, CUMMING, GA 30041-6012
(770) 886-8111
(770) 205-8539
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
074072
GA
207X00000X
Orthopaedic Surgery Physician
E-8622
AR
207X00000X
Orthopaedic Surgery Physician
OS015919
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT013214
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003167726A
—
GA
05
—
003167726B
—
GA
Enumeration date
10/08/2010
Last updated
10/12/2016
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