Individual provider · Type 1 NPI

Edward Marvin Gotlieb, MD

Pediatric Adolescent Medicine Physician · Stone Mountain, GA

NPI number 1093713356 Active

Practice location

5405 Memorial Dr, Building D
Stone Mountain, GA 30083-3234

Fax (404) 297-8753

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X014500 (GA)

Pediatric Adolescent Medicine Physician: 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.

7 other providers at this address

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About NPI 1093713356

Edward Marvin Gotlieb, MD's National Provider Identifier is 1093713356, issued on Jul 11, 2005. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Stone Mountain, GA. The record was last updated on Sep 28, 2011.