Levy-Eliceiri, Carlos A

Levy-Eliceiri, Carlos A is an sole proprietor health care provider with primary practice located at 100 Lakeshore Dr Suite B, Saint Marys GA 31558-3800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Levy-Eliceiri, Carlos A can be contacted via phone (912) 882-4254.

Contact Information

Primary practice address
100 Lakeshore Dr Suite B Saint Marys GA 31558-3800
Phone: (912) 882-4254
Fax: (812) 882-9493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 019967 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 019967 Georgia

Profile Details

NPI number 1306832639
LBN Legal business name Levy-Eliceiri, Carlos A
Credentials MD PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Oct 5th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306832639 NPPES
Georgia MEDICAID 00176272A

Popular Providers