Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD MARVIN GOTLIEB, MD
ActiveDR. EDWARD MARVIN GOTLIEB, MD is a Adolescent Medicine (Pediatrics) healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1093713356 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · STONE MOUNTAIN, GA
Registration Details
- NPI Number
- 1093713356
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2005 (21.074761679266 yrs)
- Last Updated
- Sep 28, 2011
- License
-
014500 (GA)
Practice Information
- Address
-
5405 MEMORIAL DRBUILDING DSTONE MOUNTAIN, GA, 300833234Browse GA providers · Browse ZIP 30083
- Phone
- 4042963800
- Fax
- 4042978753
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Other Adolescent Medicine (Pediatrics) Providers in STONE MOUNTAIN, GA
| Name | Credential | NPI |
|---|---|---|
| MS. ANNE MICHELE BENFORD | NP | 1831843499 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.