Individual
ROBERT R GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
713 ANDREWS DR, THOMASTON, GA 30286-4524
(770) 358-5252
Mailing address
1435 N EXPRESSWAY STE 301, GRIFFIN, GA 30223-9014
(770) 358-5252
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC008821
GA
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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