Organization
GEORGE T. GAMBLIN, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE T GAMBLIN MD (PRESIDENT)
(919) 870-4634
Entity
Organization
Contact information
Practice address
10500 WHITESTONE RD, RALEIGH, NC 27615-1238
(919) 870-4634
Mailing address
10500 WHITESTONE RD, RALEIGH, NC 27615-1238
(919) 870-4634
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31988
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8934462
—
NC
Enumeration date
05/15/2007
Last updated
08/22/2020
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