NPI 1003115916

Chad a Levitt MD PC

Organisation Specialist Cumming, GA

Practice location

Address: 1100 Northside Forsyth Dr, Cumming, GA 30041-6012
Phone: (770) 292-7000
Mailing address: 1240 Lanier Blvd NE, Atlanta, GA 30306-3341

Authorised official

Name: Chad a Levitt
Title: Owner
Phone: (770) 540-0072

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 053931 (GA)

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Registry record

NPI: 1003115916
Entity type: Organization
NPI issued: 17 Mar 2011
Record last updated: 17 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.