Provider Demographics
NPI:1114703642
Name:LEVIE-SPRICK, ANASTASIA SARAH MORI (COA)
Entity Type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:SARAH MORI
Last Name:LEVIE-SPRICK
Suffix:
Gender:F
Credentials:COA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1100 JOHNSON FY RD NE STE 593
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1733
Mailing Address - Country:US
Mailing Address - Phone:404-574-4475
Mailing Address - Fax:678-904-4008
Practice Address - Street 1:1100 JOHNSON FY RD NE STE 593
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1733
Practice Address - Country:US
Practice Address - Phone:404-574-4475
Practice Address - Fax:678-904-4008
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant