Individual
ELIZABETH GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
906 N MATTHEWS RD, LAKE CITY, SC 29560-7011
(843) 374-2353
Mailing address
1933 GREEN RD, LAKE CITY, SC 29560-5476
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
207428
SC
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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