Search › Georgia › 103TM1800X

Gouled Ali

NPI 1154297497 · on the registry since 2025

Practice

Address
1406 Rockbridge Rd
Stone Mountain, GA 30087
Phone
(206) 765-7430
Organisation at this address
White Light Health Services Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
103TM1800X
103TM1800X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia