Individual
MRS. BARI F LEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
1303 DANTIGNAC STREET, SUITE 1000, AUGUSTA, GA 30901-2776
(706) 868-5676
(706) 722-2824
Mailing address
340 NORTH BELAIR ROAD, EVANS, GA 30809-3000
(706) 868-5676
(706) 722-2824
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
AUD003739
GA
231H00000X
Audiologist
Primary
AUD0003739
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
373758
WELLCARE
GA
05
—
7060018218
—
GA
Enumeration date
08/30/2006
Last updated
07/27/2010
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