Individual
ILAN LEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(470) 793-8350
Mailing address
1355 BARRIER RD, MARIETTA, GA 30066-1803
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN297852
GA
Other
Enumeration date
01/31/2026
Last updated
01/31/2026
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