Individual
DR. JULIE EDEN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2230 TOWNE LAKE PKWY, BLDG 300, SUITE 100, WOODSTOCK, GA 30189-5540
(770) 592-4424
(770) 592-4895
Mailing address
2230 TOWNE LAKE PKWY, BLDG 300, SUITE 100, WOODSTOCK, GA 30189-5540
(770) 592-4424
(770) 592-4895
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1571
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003186881A
—
GA
05
—
003186881B
—
GA
05
—
773830693A
—
GA
05
—
773830693C
—
GA
Enumeration date
01/13/2008
Last updated
04/12/2017
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