Gotlieb, Jaquelin Smith
Gotlieb, Jaquelin Smith is an individual health care provider with primary practice located at 5405 Memorial Dr Building D, Stone Mountain GA 30083-3234. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gotlieb, Jaquelin Smith 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 017810 | Georgia |
Profile Details
| NPI number | 1689672826 |
|---|---|
| LBN Legal business name | Gotlieb, Jaquelin Smith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Popular Providers
-
Tenenbaum, Stanley M
1805 Parke Plaza Cir Ste 103, Stone Mountain GA 30087 -
Infante, Sydney
5674 Memorial Dr , Stone Mountain GA 30083-3254 -
Hammid, Saad A
5674 Memorial Dr , Stone Mountain GA 30083-3254 -
King, Winton
4850 Redan Rd , Stone Mountain GA 30088-2751 -
Clodomir, Beatrice
5582 Memorial Dr , Stone Mountain GA 30083-3215 -
Sayat, Jonathan G
555 S Floyd St , Louisville KY 40202-3822 -
Mclean, Ellen B.
4224 Houma Blvd Ste 240, Metairie LA 70006-2935 -
Rosenberg, Raymond
1805 Parke Plaza Cir Ste 103, Stone Mountain GA 30087