Gambrell, William Bradley
Gambrell, William Bradley is an individual health care provider with primary practice located at 150 Clinic Ave Suite 201, Carrollton GA 30117-4401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gambrell, William Bradley can be contacted via phone (770) 832-1488.Contact Information
Primary practice address
150 Clinic Ave Suite 201
Carrollton GA 30117-4401
Phone: (770) 832-1488
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 060456 | Georgia |
Profile Details
| NPI number | 1013056985 |
|---|---|
| LBN Legal business name | Gambrell, William Bradley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 18th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013056985 | NPPES |
| Georgia | MEDICAID | 636255000A |
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