Individual
JERROLD H LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 620-4668
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4668
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2013-00233
NC
207L00000X
Anesthesiology Physician
24704
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000256495A
—
GA
Enumeration date
12/01/2006
Last updated
03/12/2013
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