Provider Information for 1871721092
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CHRISTOPHER QUANTRIL GOSA MS
Sex: Male
NPI: 1871721092
Last Updated: 2024-10-24
Certification Date: 2024-10-24
Certification Date: 2024-10-24
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1871721092 | ||||||||||||
| Enumeration Date | 2009-06-25 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 904 7TH ST NW ALT REFORM, AL 35481-2504 United States Phone: 205-219-2293 | Fax: | ||||||||||||
| Primary Practice Address | 904 7TH ST NW ALT REFORM, AL 35481 United States Phone: 205-219-2293 | Fax: | ||||||||||||
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