Leavitt, Mitchel Altman

Leavitt, Mitchel Altman is an individual health care provider with primary practice located at 1765 Old West Broad St , Athens GA 30606-2853. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Leavitt, Mitchel Altman can be contacted via phone (706) 549-1663.

Contact Information

Primary practice address
1765 Old West Broad St Athens GA 30606-2853
Phone: (706) 549-1663
Fax: (706) 546-8792
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 76160 Georgia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 76160 Georgia

Profile Details

NPI number 1528204823
LBN Legal business name Leavitt, Mitchel Altman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2008
Last updated Mar 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528204823 NPPES
Other 14015888 CAQH NUMBER

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