Organization
C A LEVY SURGICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A LEVY M. D. (PRESIDENT)
(912) 882-4254
Entity
Organization
Contact information
Practice address
100 LAKESHORE DR, STE B, SAINT MARYS, GA 31558-3857
(912) 882-4254
Mailing address
100 LAKESHORE DR, STE B, SAINT MARYS, GA 31558-3857
(912) 882-4254
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019967
MEDICA LICENSE
GA
Enumeration date
12/31/2008
Last updated
12/31/2008
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