Ms. Stacey Levison
Nephrologist
3875 Austell Rd Ste 101
Austell
, Georgia 30106-1153
Ms. Stacey Levison
Nephrologist
3875 Austell Rd Ste 101
Austell
, Georgia 30106-1153
(801) 443-0897
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Ms. Stacey Levison
- 3875 Austell Rd Ste 101
- Austell, GA
- Zip : 30106-1153
- Fax : (801) 443-0897
- Phone : (678) 460-2700
Second Address
- Ms. Stacey Levison
- 3875 Austell Rd Ste 101
- Austell, GA
- Zip : 30106-1153
- Fax : (801) 443-0897
- Phone : (678) 460-2700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | RN160089 | GA |
National Provider Identifier
| NPI | 1033275946 |
|---|---|
| Provider Name | Ms. Stacey Levison |
| First Address | Austell, GA 30106-1153 |
| Second Address | Austell, GA 30106-1153 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2006 |
| Last Update Date | 01/02/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 228231227A | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.