Carlos A Levy-Eliceiri, MD PA Valid NPI

Individual provider · General Practice Physician · Saint Marys, GA

NPI

1306832639

Type

Individual (Type 1)

Primary specialty

General Practice Physician (General Practice)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208D00000X

License number

019967 (GA)

Sex

Male

Sole proprietor

Yes

Enumerated

2005-09-22

Last updated

2018-10-05