Individual
DR. JOHN WYLIE GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
118 S WILKINSON ST, SUITE 8, MILLEDGEVILLE, GA 31061-3356
(478) 452-7500
Mailing address
190 ATO RD SE, MILLEDGEVILLE, GA 31061-7861
(478) 452-7500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY000412
GA
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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