Gambla, Charles E

Gambla, Charles E is an individual health care provider with primary practice located at 4410 Watermelon Rd , Northport AL 35473-5204. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Gambla, Charles E can be contacted via phone (205) 345-1520.

Contact Information

Primary practice address
4410 Watermelon Rd Northport AL 35473-5204
Phone: (205) 345-1520
Fax: (205) 345-1761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 00023999 Alabama
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 00023999 Alabama
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 00023999 Alabama

Profile Details

NPI number 1275573107
LBN Legal business name Gambla, Charles E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Sep 28th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275573107 NPPES
Alabama Other 051504238 BCBS
Alabama MEDICAID 051504238 BCBS

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