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Individual

HERMAN LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2500 STARLING ST, SUITE 504, BRUNSWICK, GA 31520-4265
(912) 466-5504
(912) 466-5593
Mailing address
2500 STARLING ST, SUITE 504, BRUNSWICK, GA 31520-4265
(912) 466-5504
(912) 466-5593

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
034010
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000444375A
GA
05
000444375B
GA
01
110172605
RAILROAD MEDICARE
GA
Enumeration date
09/22/2005
Last updated
01/05/2026
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