Healthcare Provider Details

I. General information

NPI: 1013335603
Provider Name (Legal Business Name): LINDSEY BORNSTEIN GOTTLIEB MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY JEANNE BORNSTEIN

II. Dates (important events)

Enumeration Date: 04/01/2014
Last Update Date: 06/02/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PEACHTREE ST NE
ATLANTA GA
30308-2212
US

IV. Provider business mailing address

520 RIVERSIDE PKWY
ATLANTA GA
30328-3747
US

V. Phone/Fax

Practice location:
  • Phone: 404-686-8114
  • Fax:
Mailing address:
  • Phone: 404-895-9443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number287712
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number89103
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: