Provider Demographics
NPI:1659474849
Name:LEVINSON, DAVID M (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:LEVINSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 ROSWELL ST STE 101B
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-1909
Mailing Address - Country:US
Mailing Address - Phone:770-558-6580
Mailing Address - Fax:470-299-4547
Practice Address - Street 1:131 ROSWELL ST STE 101B
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-1909
Practice Address - Country:US
Practice Address - Phone:770-558-6580
Practice Address - Fax:400-299-4547
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR001765111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor