Organization · Type 2 NPI

Jeffrey E Goldberg, Md, PC

Medical Specialty Clinic/Center · Suwanee, GA

NPI number 1114103595 Active

Practice location

4245 Johns Creek Parkway, Suite D
Suwanee, GA 30024

Fax (770) 495-3820

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X036754 (GA)

Medical Specialty Clinic/Center: 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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About NPI 1114103595

Jeffrey E Goldberg, Md, PC's National Provider Identifier is 1114103595, issued on Jan 15, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Suwanee, GA. The record was last updated on Sep 2, 2011.