Individual
DR. RAPHAEL S LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 CRAIGHEAD DR NE, ATLANTA, GA 30319-1086
(404) 843-1967
(404) 843-1967
Mailing address
350 CRAIGHEAD DR NE, ATLANTA, GA 30319-1086
(404) 843-1967
(404) 843-1967
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14243
GA
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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