Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 062385 | GA |
N | 207P00000X | Emergency Physician | 2006-0369 | NM |
NPI | 1003955048 |
---|---|
Provider Name | Dr. Benjamin Aaron Levy |
First Address | Atlanta, GA 30328-5831 |
Second Address | Atlanta, GA 30328-5831 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 30/07/2009 |