CHAD A LEVITT MD PC
Medical Practice at Northside Forsyth Dr, Cumming, GA

License number
Georgia 053931
Category
Medical Practice
Type
Specialist
Owner
Name: CHAD A LEVITT MD
Title: OWNER
Phone: (770) 540-0072
Address
Address 2
1100 Northside Forsyth Dr, Cumming, GA 30041
1240 Lanier Blvd NE, Atlanta, GA 30306
National Provider ID: 1003115916
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHAD A. LEVITT M.D., PC

1240 Lanier Blvd NE, Atlanta, GA 30306

Registration:
Jan 3, 2011
State ID:
11000524
Business type:
Domestic Professional Corporation
Secretary:
Renee Alisha Dawson (Secretary), 1240 Lanier Blvd NE, Atlanta, GA 30306 (Physical)
Agent:
Michael Rozmajzl,130 Arnold Ml Park, Woodstock, GA 30188 (Physical)

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