Provider Demographics
NPI:1003950445
Name:LEVINSON FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:LEVINSON FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEVINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-781-9050
Mailing Address - Street 1:563 LAKELAND PLZ
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-2784
Mailing Address - Country:US
Mailing Address - Phone:770-781-9050
Mailing Address - Fax:770-781-5801
Practice Address - Street 1:9950 JONES BRIDGE RD
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-6574
Practice Address - Country:US
Practice Address - Phone:770-754-0037
Practice Address - Fax:770-754-7828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIROO1765111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty