Individual
ABDOLLATIF SALEH GHIATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
125 MCDONALD AVE, CUTHBERT, GA 39840-5829
(229) 732-3721
(229) 732-6536
Mailing address
125 MCDONALD AVE, CUTHBERT, GA 39840-5829
(229) 732-3721
(229) 732-6536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040908
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00680688F
—
GA
Enumeration date
05/27/2005
Last updated
09/22/2023
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