Organization
JEFFREY E GOLDBERG, MD, PC
Active
Other names
Children's ENT Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY E GOLDBERG MD (OWNER)
(770) 495-3820
Entity
Organization
Contact information
Practice address
4245 JOHNS CREEK PARKWAY, SUITE D, SUWANEE, GA 30024
(770) 495-3820
(770) 495-3820
Mailing address
4245 JOHNS CREEK PARKWAY, SUITE D, SUWANEE, GA 30024
(770) 495-3820
(770) 495-3820
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
036754
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000630594B
—
GA
Enumeration date
01/15/2008
Last updated
09/02/2011
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