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Individual

PATRICK R GAMBLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
811 13TH ST, SUITE 20, AUGUSTA, GA 30901-2700
(706) 722-3401
(706) 724-6540
Mailing address
811 13TH ST, SUITE 20, AUGUSTA, GA 30901-2700
(706) 722-3401
(706) 724-6540

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8143
GA

Other

Enumeration date
09/28/2016
Last updated
09/16/2024
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