Dr. William Bradley Gambrell
Otolaryngologist (ENT Doctor)
150 Clinic Ave Suite 201
Carrollton
, Georgia 30117-4401
Dr. William Bradley Gambrell
Otolaryngologist (ENT Doctor)
150 Clinic Ave Suite 201
Carrollton
, Georgia 30117-4401
(770) 832-1488
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. William Bradley Gambrell
- 150 Clinic Ave Suite 201
- Carrollton, GA
- Zip : 30117-4401
- Phone : (770) 832-1488
Second Address
- Dr. William Bradley Gambrell
- 150 Clinic Ave Suite 201
- Carrollton, GA
- Zip : 30117-4401
- Phone : (770) 832-1488
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 060456 | GA |
National Provider Identifier
| NPI | 1013056985 |
|---|---|
| Provider Name | Dr. William Bradley Gambrell |
| First Address | Carrollton, GA 30117-4401 |
| Second Address | Carrollton, GA 30117-4401 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2007 |
| Last Update Date | 12/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 636255000A | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.