Gambrell, Robert Clayton

Gambrell, Robert Clayton is an individual health care provider with primary practice located at 1706 Magnolia Way , Augusta GA 30909-9481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Gambrell, Robert Clayton can be contacted via phone (706) 210-7529.

Contact Information

Primary practice address
1706 Magnolia Way Augusta GA 30909-9481
Phone: (706) 210-7529
Fax: (706) 312-7610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 28706 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036747 Georgia

Profile Details

NPI number 1952353542
LBN Legal business name Gambrell, Robert Clayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Apr 3rd, 2019 - about 6 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 1952353542 NPPES
South Carolina MEDICAID G36747
South Carolina MEDICAID 000612411D

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