Individual
DR. SCOTT M. LEVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 30106-8157
(770) 944-1100
(770) 944-6469
Mailing address
2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 30106-8157
(770) 944-1100
(770) 944-6469
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
037017
GA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
037017
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000553814B
—
GA
05
—
000553814D
—
GA
05
—
000553814E
—
GA
05
—
000553814F
—
GA
Enumeration date
09/30/2005
Last updated
02/05/2009
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