Levengood, Gary A
Levengood, Gary A is an individual health care provider with primary practice located at 1900 Riverside Pkwy , Lawrenceville GA 30043-5925. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Levengood, Gary A can be contacted via phone (770) 237-3475.Contact Information
Primary practice address
1900 Riverside Pkwy
Lawrenceville GA 30043-5925
Phone: (770) 237-3475
Fax: (770) 237-3756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 040138 | Georgia |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 040138 | Georgia |
Profile Details
| NPI number | 1871593285 |
|---|---|
| LBN Legal business name | Levengood, Gary A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jul 2nd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871593285 | NPPES |
| Georgia | Other | 200045077 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 000665409F | RAILROAD MEDICARE |
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