Individual
DR. FRED ALAN LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1269 WELLBROOK CIR NE, CONYERS, GA 30012-3873
(770) 922-0505
(770) 922-1870
Mailing address
3187 BOLERO WAY, ATLANTA, GA 30341-5762
(770) 922-0505
(770) 922-1870
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
022434
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00222219A
—
GA
Enumeration date
07/17/2006
Last updated
06/11/2012
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