MEDICARE: LEVY CARE GROUP PLLC

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	111N00000X	Chiropractor	3688	NC

General Provider Information

NPI Number	:	1033365721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEVY CARE GROUP PLLC

Provider Business Mailing Address
First Line	:	2910 OLD MONROE RD
Second Line	:	SUITE D
City	:	STALLINGS
State	:	NC
Zip	:	28104-5010
Country	:	US
Telephone Number	:	704-684-6090
Fax Number	:	704-684-6091

Provider Business Practice Location Address
First Line	:	2910 OLD MONROE RD
Second Line	:	SUITE D
City	:	STALLINGS
State	:	NC
Zip	:	28104-5010
Country	:	US
Telephone Number	:	704-684-6090
Fax Number	:	704-684-6091

Authorized Official
Title or Position	:	OWNER/ CHIROPRACTOR
Name	:	DR. MARC ALLEN LEVY
Credential	:	D.C.
Telephone Number	:	704-684-6090

Provider Enumeration Date	:	08/13/2008
Last Update Date	:	09/29/2014

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