Healthcare Provider Details

I. General information

NPI: 1447295431
Provider Name (Legal Business Name): ALAN G WEINTRAUB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

Provider Other Name: ALAN GERALD WEINTRAUB MD

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5635 PEACHTREE PARKWAY STE 120
NORCROSS GA
30092
US

IV. Provider business mailing address

5635 PEACHTREE PARKWAY STE 120
NORCROSS GA
30092
US

V. Phone/Fax

Practice location:
  • Phone: 770-416-6428
  • Fax: 770-416-6788
Mailing address:
  • Phone: 770-416-6428
  • Fax: 770-416-6788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number030921
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number030921
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: