JONATHAN L LEVINE MD, PC
Medical Practice at Sharit Ave, Gardendale, AL

License number
Alabama 00020375
Category
Medical Practice
Type
Otolaryngology
Owner
Name: MRS. MARSHA C O'NEAL
Title: OFFICE MANAGER
Phone: (205) 631-8116
Address
Address 2
931 Sharit Ave SUITE 101, Gardendale, AL 35071
833 Saint Vincents Dr Pob #3 SUITE 402, Birmingham, AL 35205
National Provider ID: 1033153358
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jonathan L. Levine, M.D.,P.C

Gardendale, AL

Status:
Inactive
Industry:
Any Lawful Activity
Registration:
Aug 12, 2005
State ID:
243-032
Business type:
Domestic Corporation
Formation place:
Jefferson County
Incorporator:
Joseph T Ritchey (Incorporator)
Agent:
Jonathan L Levine,Gardendale, AL 35071 (Physical)
Canceled Date:
Dec 5, 2011

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