| Levin Family Practice, Pc | |
|
1040 Cambridge Sq Suite E Alpharetta GA 30004-1800 | |
| (770) 569-2020 | |
| (770) 569-5550 |
| Full Name | Levin Family Practice, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1040 Cambridge Sq, Alpharetta, Georgia |
| Authorized Official Name and Position | Debra K Levin (CO-OWNER) |
| Authorized Official Contact | 7705692020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Levin Family Practice, Pc 1040 Cambridge Sq Suite E Alpharetta GA 30004-1800 Ph: (770) 569-2020 | Levin Family Practice, Pc 1040 Cambridge Sq Suite E Alpharetta GA 30004-1800 Ph: (770) 569-2020 |
| NPI Number | 1265659791 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7113189531 |
|---|---|
| Medicare Enrollment ID | O20120501000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265659791 | NPI | - | NPPES |
| 1518959964 | Other | NPI DEBRA K LEVIN, MD | |
| 1053303446 | Other | NPI STUART I LEVIN, MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 020932 (Georgia) | Primary |
| Provider Name | Stuart I Levin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053303446 PECOS PAC ID: 8820250244 Enrollment ID: I20120501000777 |
| Provider Name | Debra K Levin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518959964 PECOS PAC ID: 9739341157 Enrollment ID: I20120501000791 |
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