Individual
SIDNEY A GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12182 HIGHWAY 92, WOODSTOCK, GA 30188-4481
(770) 591-9838
Mailing address
210 GATSBY PL, ALPHARETTA, GA 30022-6160
(770) 993-1098
(678) 445-3803
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001095
GA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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