Individual
MICHAEL LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2520 WINDY HILL RD SE, SUITE 102, MARIETTA, GA 30067-8664
(770) 612-8165
(770) 612-8195
Mailing address
550 PEACHTREE ST NE, SUITE 1620, ATLANTA, GA 30308-2209
(404) 885-7701
(404) 885-7777
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12932
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000011261E
—
GA
Enumeration date
12/02/2005
Last updated
07/14/2011
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