Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edward Marvin Gotlieb, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1093713356

Dr. Edward Marvin Gotlieb, MD is a Pediatric Adolescent Medicine Physician in Stone Mountain, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5405 Memorial Dr Bldg D
Stone Mountain, GA 30083-3234
Phone: (404) 296-3800
Fax: (404) 297-8753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 014500 (GA)

Record details

NPI number1093713356
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2005
Last updated in NPPESSeptember 28, 2011

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