Individual
DR. DEBORAH LYN LEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1102 MACY DR, ROSWELL, GA 30076-6351
(678) 218-1710
(678) 218-1714
Mailing address
PO BOX 566813, ATLANTA, GA 31156-6813
(678) 218-1710
(678) 218-1714
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
44520
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000757798I
—
GA
Enumeration date
09/24/2006
Last updated
03/26/2013
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