Organization
SIDNEY A. GOTTLIEB, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY ALAN GOTTLIEB O.D. (PRESIDENT/OPTOMETRIST)
(770) 845-1098
Entity
Organization
Contact information
Practice address
12182 HIGHWAY 92, WOODSTOCK, GA 30188-4481
(770) 591-9838
(678) 445-3803
Mailing address
12182 HIGHWAY 92, WOODSTOCK, GA 30188-4481
(770) 591-9838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001095
GA
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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