Gotlieb, Edward Marvin

Gotlieb, Edward Marvin is an individual health care provider with primary practice located at 5405 Memorial Dr Building D, Stone Mountain GA 30083-3234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Gotlieb, Edward Marvin can be contacted via phone (404) 296-3800.

Contact Information

Primary practice address
5405 Memorial Dr Building D Stone Mountain GA 30083-3234
Phone: (404) 296-3800
Fax: (404) 297-8753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 014500 Georgia

Profile Details

NPI number 1093713356
LBN Legal business name Gotlieb, Edward Marvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Sep 28th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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