Healthcare Provider Details

I. General information

NPI: 1730661828
Provider Name (Legal Business Name): CHRISTOPHER ROBIN GEHLING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2018
Last Update Date: 07/29/2021
Certification Date: 07/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 E SOUTH BLVD
MONTGOMERY AL
36116-2409
US

IV. Provider business mailing address

409 MERIMONT BLVD
AUBURN AL
36830-4345
US

V. Phone/Fax

Practice location:
  • Phone: 334-288-2100
  • Fax: 334-286-3368
Mailing address:
  • Phone: 334-703-9377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD.42924
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: