Individual
FATEEHA TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 712-3329
(334) 305-0219
Mailing address
1108 ROSS CLARK CIR STE 210, DOTHAN, AL 36301-3022
(334) 712-3329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47205
AL
Other
Enumeration date
04/01/2020
Last updated
04/19/2024
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