Dr. Edward Marvin Gotlieb
MD | Pediatric Adolescent Medicine | Male
Dr. Edward Marvin Gotlieb, MD is a Stone Mountain, Georgia based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Edward Marvin Gotlieb is
5405 Memorial Dr, Building D, Stone Mountain, Georgia - 30083-3234. He can be contacted on phone at
404-296-3800 and fax number 404-297-8753.
Dr. Edward Marvin Gotlieb is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Edward Marvin Gotlieb is
1093713356 which was assigned by NPPES on 11 Jul, 2005 and it was last updated on 28 Sep, 2011.
Dr. Edward Marvin Gotlieb license number is
014500 for Pediatrics Adolescent Medicine (2080A0000X) in Georgia.
Dr. Edward Marvin Gotlieb specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Edward Marvin Gotlieb basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Edward Marvin Gotlieb |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Edward Marvin Gotlieb address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5405 Memorial Dr, Building D
Stone Mountain, GA, 30083-3234
United States |
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| Phone Number : | 404-296-3800 |
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| Fax Number : | 404-297-8753 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1093713356 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Jul, 2005 |
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| Last Updated On : | 28 Sep, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Edward Marvin Gotlieb are as mentioned. Primary taxonomy code for Dr. Edward Marvin Gotlieb, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 014500 | GA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5405 Memorial Dr, Building D
Stone Mountain, GA, 30083-3234
United States |
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| Phone Number : | 404-296-3800 |
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| Fax Number : | 404-297-8753 |
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Business Location:
Patients can refer following map for directions to
Dr. Edward Marvin Gotlieb practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.