Doctor Name: | DR. STEVEN JEFFREY GOTTLIEB |
NPI Number: | 1023050143 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 0361 |
Business Practice Address: | 1306 Hwy 72 W Greenwood, SC - 296491826 |
Business Phone Number: | 8643880088 |
Business Fax Number: | 8643880507 |
Mailing Address: | 1306 Hwy 72 W, GREENWOOD |
State: | SC |
Postal Code: | 296491826 |
Phone Number: | 8643880088 |
Fax Number: | 8643880507 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 06/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | 0361 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |