Individual
KEITH A. LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3180 N POINT PKWY, STE 207, ALPHARETTA, GA 30005-4381
(404) 446-2800
(404) 446-2809
Mailing address
3180 N POINT PKWY, STE 207, ALPHARETTA, GA 30005-4381
(770) 559-8725
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
022583
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000244769C
—
GA
05
—
00244769A
—
GA
Enumeration date
07/12/2006
Last updated
06/21/2016
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