Individual
ELIZABETH RHODES GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24039
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10105625
—
VA
01
—
34445
BCBS
—
05
—
3810001778
—
WV
01
—
48026
PARTNERS
—
01
—
7825459
AETNA
—
05
—
8934445
—
NC
01
—
D7626
MEDCOST
—
Enumeration date
12/13/2005
Last updated
03/24/2009
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