Individual
JAY A LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD STE 660, ATLANTA, GA 30342-5006
(404) 252-4110
(404) 252-2188
Mailing address
1100 JOHNSON FERRY RD STE 465, ATLANTA, GA 30342-1709
(404) 252-4110
(404) 252-2188
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
026888
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000597077A
—
GA
Enumeration date
05/19/2006
Last updated
09/25/2024
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