Individual
ALAN MERRILL LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
191 MEDICAL BLVD, STOCKBRIDGE, GA 30281-5083
(678) 604-5015
Mailing address
191 MEDICAL BLVD STE 250, STOCKBRIDGE, GA 30281-5083
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35930
GA
2086S0129X
Vascular Surgery Physician
Primary
035930
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000509748C
—
GA
01
—
1633261-009
CIGNA
GA
01
—
288074
WELLCARE CHOICE PLAN
GA
01
—
4239358
AETNA
GA
01
—
52292901006
BLUE CROSS BLUE SHIELD
GA
01
—
581800973
UNITED HEALTHCARE
GA
01
—
770001403
RAILROAD MEDICARE
GA
Enumeration date
01/18/2007
Last updated
01/15/2025
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