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Jeffrey E Goldberg, Md, Pc
Medical Specialty Clinic/Center in Suwanee, Georgia
NPI 1114103595

Jeffrey E Goldberg, Md, Pc is a Medical Specialty Clinic/Center based in Suwanee, GA and is specialized in Medical Specialty. Jeffrey E Goldberg, Md, Pc practices in Suwanee, GA. The NPI Number for Jeffrey E Goldberg, Md, Pc is 1114103595 and holds a License No. 036754 (Georgia).

The current practice location address for Jeffrey E Goldberg, Md, Pc is 4245 Johns Creek Parkway, Suwanee, GA and can be reached out via phone at 770-495-3820 and via fax at 770-495-3820.

Location: 4245 Johns Creek Parkway, Suwanee, GA, 30024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114103595
Provider Name
Jeffrey E Goldberg, Md, Pc
Credential
Provider Entity Type
Organization
Address
4245 Johns Creek Parkway, Suwanee, GA, 30024
Phone Number
770-495-3820
Fax Number
770-495-3820
Provider Enumeration Date
01/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000630594B 05 GA
institution
Provider Business Practice Location Address Details
Address
4245 Johns Creek Parkway
City
Suwanee
State
Georgia
Zip
30024
Phone Number
770-495-3820
Fax Number
770-495-3820
person
Provider Business Mailing Address Details
Address
4245 Johns Creek Parkway
City
Suwanee
State
Georgia
Zip
30024
Phone Number
770-495-3820
Fax Number
770-495-3820
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
036754 (Georgia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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