Jaquelin Smith Gotlieb in Stone Mountain - Pediatrics
Jaquelin Smith Gotlieb - NPI 1689672826
Jaquelin Smith Gotlieb is a Pediatrics in Stone Mountain, Georgia. Jaquelin Smith Gotlieb practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jaquelin Smith Gotlieb is 1689672826. The last update date is 2007-07-08.
Jaquelin Smith Gotlieb's current location address is 5405 Memorial Dr, Stone Mountain, Georgia. You can contact this provider via phone number 4042963800 and fax number 4042978753. The mailing address for Jaquelin Smith Gotlieb is 5405 Memorial Dr, Stone Mountain, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaquelin Smith Gotlieb |
|---|---|
| Address | 5405 Memorial Dr, Stone Mountain, Georgia |
| Phone Number | 4042963800 |
| Fax Number | 4042978753 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1689672826 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5405 Memorial Dr |
|---|---|
| City | Stone Mountain |
| State | Georgia (GA) |
| Post Code | 300833234 |
| Phone Number | 4042963800 |
| Fax Number | 4042978753 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 17810 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Post Comment/ Review Below
What is the unique identifier code issued to Jaquelin Smith Gotlieb by the Centers for Medicare & Medicaid Services?
The Jaquelin Smith Gotlieb has been assigned the NPI (National Provider Identifier) 1689672826. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jaquelin Smith Gotlieb is located?
The Jaquelin Smith Gotlieb is situated at the following address: 5405 Memorial Dr, Stone Mountain, GA, 300833234.
What is Jaquelin Smith Gotlieb's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jaquelin Smith Gotlieb's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did Jaquelin Smith Gotlieb receive its 1689672826 assignment from the Centers for Medicare & Medicaid Services?
The Jaquelin Smith Gotlieb was assigned its 1689672826 on 2005-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jaquelin Smith Gotlieb's information last updated?
The Jaquelin Smith Gotlieb's information was last updated on 2007-07-08.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX