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Dr. Edward Marvin Gotlieb, MD
Pediatric Adolescent Medicine Physician in Stone Mountain, Georgia
NPI 1093713356

Edward Marvin Gotlieb is a Pediatric Adolescent Medicine Physician based in Stone Mountain, GA and is specialized in Adolescent Medicine. Edward Marvin Gotlieb practices in Stone Mountain, GA and has the professional credentials of MD. The NPI Number for Edward Marvin Gotlieb is 1093713356 and holds a License No. 014500 (Georgia).

The current practice location address for Edward Marvin Gotlieb is 5405 Memorial Dr, Stone Mountain, GA and can be reached out via phone at 404-296-3800 and via fax at 404-297-8753.

Location: 5405 Memorial Dr, Stone Mountain, GA, 30083-3234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093713356
Provider Name
Edward Marvin Gotlieb
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5405 Memorial Dr, Stone Mountain, GA, 30083-3234
Phone Number
404-296-3800
Fax Number
404-297-8753
Provider Enumeration Date
07/11/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5405 Memorial Dr
City
Stone Mountain
State
Georgia
Zip
30083-3234
Phone Number
404-296-3800
Fax Number
404-297-8753
person
Provider Business Mailing Address Details
Address
5405 Memorial Dr
City
Stone Mountain
State
Georgia
Zip
30083-3234
Phone Number
404-296-3800
Fax Number
404-297-8753
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
014500 (Georgia)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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