Gamble, William Bryan
Gamble, William Bryan is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Suite 530, Columbia SC 29203-6859. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Gamble, William Bryan can be contacted via phone (803) 434-4603.Contact Information
Primary practice address
9 Richland Medical Park Dr Suite 530
Columbia SC 29203-6859
Phone: (803) 434-4603
Fax: (803) 434-3866
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | TRN10113 | Florida |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34396 | South Carolina |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 62846 | Georgia |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MMD.34396 MD | South Carolina |
Profile Details
NPI number | 1164508479 |
---|---|
LBN Legal business name | Gamble, William Bryan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 29th, 2006 |
Last updated | Jun 28th, 2023 - about last year |
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 | 1164508479 | NPPES |
South Carolina | MEDICAID | 343961 |
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