Individual
DR. ALI AL GARATLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 WEST WATAUGA AVENUE, JOHNSON CITY, TN 37605
(423) 232-2600
(423) 232-2646
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101238440
VA
2084P0800X
Psychiatry Physician
Primary
33785
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187078 RIDGEVIEW
ANTHEM PROF TRIGON
—
01
—
278258WAT
ANTHEM PREF TRIGON
—
01
—
278259BAX
ANTHEM PREF TRIGON
—
01
—
278261 CTC
ANTHEM PROF TRIGON
—
01
—
4002680
MAGELLAN SUMMIT
—
01
—
5629853
FIRST HEALTH
—
Enumeration date
09/11/2006
Last updated
07/08/2007
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