Organization
ALLEN E GAMBLE, DO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN E GAMBLE DO (OWNER)
(864) 469-3456
Entity
Organization
Contact information
Practice address
1900 S HIGHWAY 14 STE B, GREER, SC 29650-4731
(864) 469-3456
Mailing address
1900 S HIGHWAY 14 STE B, GREER, SC 29650-4731
(864) 469-3456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265493605
—
SC
Enumeration date
05/14/2020
Last updated
05/14/2020
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