Provider Demographics
NPI:1457335887
Name:LEVENGOOD, JULIE V (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:V
Last Name:LEVENGOOD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4 VANDERBILT PARK DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1759
Mailing Address - Country:US
Mailing Address - Phone:828-258-9533
Mailing Address - Fax:828-253-4434
Practice Address - Street 1:4 VANDERBILT PARK DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1759
Practice Address - Country:US
Practice Address - Phone:828-258-9533
Practice Address - Fax:828-253-4434
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2014-08-12
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Provider Licenses
StateLicense IDTaxonomies
NC2013-00154207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherPRIVATE HEALTHCARE SYSTEM
2103109OtherMEDICAID/WELFARE
A38703OtherMEDICARE B
7181382OtherAETNA/ US HEALTHCARE
86468OtherCHILDRENS MEDICAL SECURIT
92599OtherFALLON COMMUNITY HEALTH P
J29268OtherBLUE CARE ELECT
J29268OtherBLUE SHIELD INDEMNITY
86468OtherHEALTHY START
468305OtherTUFTS HEALTH PLAN
789682OtherMVP HEALTH CARE
5418097OtherFIRST HEALTH
AA33673OtherHARVARD PILGRIM HEALTHCAR
86468OtherHEALTHY START