Individual
DR. STEVEN JEFFREY GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1272 VIRGIL LANGFORD RD, STE 202, WATKINSVILLE, GA 30677
(770) 953-3331
(678) 744-0260
Mailing address
8200 ROBERTS DR STE 450, SANDY SPRINGS, GA 30350-4115
(709) 528-6127
(678) 803-6944
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
0361
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003261026A
—
GA
05
—
TL0595
—
SC
Enumeration date
06/12/2006
Last updated
03/28/2022
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