Individual
DR. WILLIAM BRADLEY GAMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 CLINIC AVE, SUITE 201, CARROLLTON, GA 30117-4401
(770) 832-1488
Mailing address
150 CLINIC AVE, SUITE 201, CARROLLTON, GA 30117-4401
(770) 832-1488
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
060456
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
636255000A
—
GA
Enumeration date
02/06/2007
Last updated
07/18/2022
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