Organization
GEORGE R GOTTLIEB, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE R GOTTLIEB M.D. (OWNER/SOLE PRACTITIONER)
(770) 979-3796
Entity
Organization
Contact information
Practice address
2675 N DECATUR RD, SUITE 404, DECATUR, GA 30033-6131
(770) 979-3796
(770) 979-0939
Mailing address
2675 N DECATUR RD, SUITE 404, DECATUR, GA 30033-6131
(770) 979-3796
(770) 979-0939
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
020437
GA
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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