Organization
METAMORPHOSIS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH LYN LEVICH MD (CEO)
(678) 218-1710
Entity
Organization
Contact information
Practice address
1792 WOODSTOCK RD, BLDG 300, ROSWELL, GA 30075-2199
(678) 218-1710
(678) 218-1714
Mailing address
1792 WOODSTOCK RD, BLDG 300, ROSWELL, GA 30075-2199
(678) 218-1710
(678) 218-1714
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
044520
GA
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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