Provider Demographics
NPI:1508549627
Name:ALMOND, LEVI
Entity Type:Individual
Prefix:
First Name:LEVI
Middle Name:
Last Name:ALMOND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 WINDING HILLS LN
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-3816
Mailing Address - Country:US
Mailing Address - Phone:843-359-4105
Mailing Address - Fax:
Practice Address - Street 1:777 WINDING HILLS LN
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-3816
Practice Address - Country:US
Practice Address - Phone:843-359-4105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant