Individual
MS. CARA L GAMBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4709 CREEKSTONE DR, DURHAM, NC 27703-8411
(919) 684-8111
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102422
NC
363AM0700X
Medical Physician Assistant
0110001795
VA
363AS0400X
Surgical Physician Assistant
0110001795
VA
Other
Enumeration date
07/15/2006
Last updated
05/20/2014
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