Gamble, Laura Elizabeth

Gamble, Laura Elizabeth is an sole proprietor health care provider with primary practice located at 8301 Farrow Road , Columbia SC 29203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gamble, Laura Elizabeth can be contacted via phone (803) 434-7950.

Contact Information

Primary practice address
8301 Farrow Road Columbia SC 29203
Phone: (803) 434-7950
Fax: (803) 434-7981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN 33555 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN 2417 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2417 South Carolina

Profile Details

NPI number 1619961414
LBN Legal business name Gamble, Laura Elizabeth
Credentials MSN-CPNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2005
Last updated Sep 30th, 2011 - about 13 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 1619961414 NPPES
South Carolina Other AA33652389 MEDICARE PTAN
South Carolina MEDICAID NP0037 MEDICARE PTAN

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