Individual
BRIAN LEVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
7810 N SPALDING LAKE DR, ATLANTA, GA 30350-1093
(678) 904-7210
(770) 394-5313
Mailing address
7810 N SPALDING LAKE DR, SANDY SPRINGS, GA 30350-1093
(678) 904-7210
(770) 394-5313
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
029485
GA
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000469103C
—
GA
05
—
000469103D
—
GA
Enumeration date
08/11/2005
Last updated
09/28/2024
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