MEDICARE: HEATHER ANN LEVITES 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	2086S0122X	Plastic and Reconstructive Surgery Physician	2021-00940	NC

General Provider Information

NPI Number	:	1871989145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ANN LEVITES MD

Provider Business Mailing Address
First Line	:	5720 CREEDMOOR RD STE 101
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-2382
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5720 CREEDMOOR RD STE 101
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-2382
Country	:	US
Telephone Number	:	917-907-0345
Fax Number	:

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

Provider Enumeration Date	:	04/13/2015
Last Update Date	:	06/06/2024

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Directions to “ HEATHER ANN LEVITES MD” Practice Location

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