Organization
BRIAN A. LEVITT, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN A LEVITT MD (OWNER)
(678) 904-7210
Entity
Organization
Contact information
Practice address
1700 TREE LN, SUITE #200, SNELLVILLE, GA 30078-6782
(678) 904-7210
(678) 904-7217
Mailing address
1700 TREE LN, SUITE #200, SNELLVILLE, GA 30078-6782
(678) 904-7210
(678) 904-7217
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00469103D
—
GA
Enumeration date
03/24/2010
Last updated
03/24/2010
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