Provider Demographics
NPI:1124098645
Name:LEVIN, JULIAN CHARLES (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:CHARLES
Last Name:LEVIN
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:955 RIBAUT RD
Mailing Address - Street 2:BMAC CREDENTIALING
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-5441
Mailing Address - Country:US
Mailing Address - Phone:843-522-5674
Mailing Address - Fax:843-522-5678
Practice Address - Street 1:BEAUFORT MEMORIAL EXPRESS CARE & OCCUPATIONAL HEALTH
Practice Address - Street 2:974 RIBAUT RD
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-5486
Practice Address - Country:US
Practice Address - Phone:843-524-3344
Practice Address - Fax:844-295-9894
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2019-07-24
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Provider Licenses
StateLicense IDTaxonomies
SC152492083X0100X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC152499Medicaid