MEDICARE: JAY A LEVIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	026888	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467406082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY A LEVIN MD

Provider Business Mailing Address
First Line	:	1100 JOHNSON FERRY RD STE 465
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1709
Country	:	US
Telephone Number	:	404-252-4110
Fax Number	:	404-252-2188

Provider Business Practice Location Address
First Line	:	5671 PEACHTREE DUNWOODY RD STE 660
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-5006
Country	:	US
Telephone Number	:	404-252-4110
Fax Number	:	404-252-2188

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	09/25/2024

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Directions to “ JAY A LEVIN MD” Practice Location

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