Individual
DR. ANDREW G GAMBRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9020 FARROW RD, COLUMBIA, SC 29203-9773
(803) 419-5002
Mailing address
9020 FARROW RD, COLUMBIA, SC 29203-9773
(803) 419-5002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
03794
SC
332B00000X
Durable Medical Equipment & Medical Supplies
3794
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57-0994852
TAX ID
SC
Enumeration date
02/09/2007
Last updated
05/24/2019
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