George R Gottlieb
Allergist & Immunologist
2675 N Decatur Rd Ste 404
Decatur
, Georgia 30033
George R Gottlieb
Allergist & Immunologist
2675 N Decatur Rd Ste 404
Decatur
, Georgia 30033
(404) 297-0849
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- George R Gottlieb
- 2675 N Decatur Rd Ste 404
- Decatur, GA
- Zip : 30033
- Fax : (404) 297-0849
- Phone : (404) 294-4761
Second Address
- George R Gottlieb
- 2675 N Decatur Rd Ste 404
- Decatur, GA
- Zip : 30033
- Fax : (404) 297-0849
- Phone : (404) 294-4761
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 020437 | GA |
National Provider Identifier
| NPI | 1134174790 |
|---|---|
| Provider Name | George R Gottlieb |
| First Address | Decatur, GA 30033 |
| Second Address | Decatur, GA 30033 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2006 |
| Last Update Date | 18/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D45452 | (02) | |
| D45452 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.