Individual
DR. ROBERT CLAYTON GAMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
465 N BELAIR RD STE 2B, EVANS, GA 30809-3190
(706) 774-7400
Mailing address
4381 DEERWOOD LN, EVANS, GA 30809-4605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36747
GA
207QS0010X
Sports Medicine (Family Medicine) Physician
036747
GA
207QS0010X
Sports Medicine (Family Medicine) Physician
28706
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000612411D
—
GA
05
—
G36747
—
SC
Enumeration date
05/16/2006
Last updated
09/09/2024
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