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Contact Information

KEITH A LEVINE, MD
3180 N POINT PKWY
STE 207
ALPHARETTA, GA30005-4381
 Phone: 404-446-2800
 Fax: 404-446-2809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for KEITH A LEVINE · (Male)

NPI Number 1316962517
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2006
Last updated 06/21/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 022583
  • GA Medicaid 000244769C
  • GA Medicaid 00244769A
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
  • SAINT JOSEPH'S HOSPITAL OF ATLANTA INC - (Acute Care)
    5665 PEACHTREE DUNWOODY ROAD
    ATLANTA, GA 30342
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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