| NPI | 1366629248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE R GOTTLIEB Owner/Sole Practitioner 770-979-3796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 020437) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |