Provider Demographics
NPI:1518959964
Name:LEVIN, DEBRA KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:KAY
Last Name:LEVIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1040 CAMBRIDGE SQ
Mailing Address - Street 2:SUITE E
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-1800
Mailing Address - Country:US
Mailing Address - Phone:770-569-2020
Mailing Address - Fax:770-569-5550
Practice Address - Street 1:1040 CAMBRIDGE SQ
Practice Address - Street 2:SUITE E
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-1800
Practice Address - Country:US
Practice Address - Phone:770-569-2020
Practice Address - Fax:770-569-5550
Is Sole Proprietor?:No
Enumeration Date:2005-08-20
Last Update Date:2010-02-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA020932207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA08BBTDVMedicare ID - Type Unspecified
GAD45938Medicare UPIN