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Individual

DR. RISHA KAHLIL GATLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
364 HONEYSUCKLE RD, DOTHAN, AL 36305-1140
(334) 794-8656
(877) 389-4229
Mailing address
364 HONEYSUCKLE RD, DOTHAN, AL 36305-1140
(334) 794-8656
(877) 389-4229

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31171
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132030
AL
Enumeration date
11/01/2006
Last updated
10/01/2015
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