Individual
DR. ADAM H LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 3RD ST, MACON, GA 31201-3294
(478) 464-2600
(478) 738-9739
Mailing address
610 3RD ST, STE 101, MACON, GA 31201-3294
(478) 464-2600
(478) 738-9739
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
063890
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I100978
MEDICARE ID
GA
05
—
430143645E
—
GA
Enumeration date
05/07/2007
Last updated
09/04/2013
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