Levine, Michael

Levine, Michael is an individual health care provider with primary practice located at 2520 Windy Hill Rd Se Suite 102, Marietta GA 30067-8664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Levine, Michael can be contacted via phone (770) 612-8165.

Contact Information

Primary practice address
2520 Windy Hill Rd Se Suite 102 Marietta GA 30067-8664
Phone: (770) 612-8165
Fax: (770) 612-8195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 12932 Georgia

Profile Details

NPI number 1154305191
LBN Legal business name Levine, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jul 14th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154305191 NPPES
Georgia MEDICAID 000011261E

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