Charles E Gambla in Northport - Mohs-micrographic Surgery
Charles E Gambla - NPI 1275573107
Charles E Gambla is a Mohs-micrographic Surgery in Northport, Alabama. Charles E Gambla practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Charles E Gambla is 1275573107. The last update date is 2010-09-28.
Charles E Gambla's current location address is 4410 Watermelon Rd, Northport, Alabama. You can contact this provider via phone number 2053451520 and fax number 2053451761. The mailing address for Charles E Gambla is 4410 Watermelon Rd, Northport, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles E Gambla |
|---|---|
| Address | 4410 Watermelon Rd, Northport, Alabama |
| Phone Number | 2053451520 |
| Fax Number | 2053451761 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275573107 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2010-09-28 |
Provider Mailing Address Detail
| Address | 4410 Watermelon Rd |
|---|---|
| City | Northport |
| State | Alabama (AL) |
| Post Code | 354735204 |
| Phone Number | 2053451520 |
| Fax Number | 2053451761 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 23999 |
|
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51504238 | AL | BCBS | |
| 51504238 | AL | -- |
Post Comment/ Review Below
What is the Charles E Gambla's 1275573107?
The Charles E Gambla's NPI (National Provider Identifier) Number is 1275573107. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Charles E Gambla is physically located?
The Charles E Gambla is physically situated at the following address: 4410 Watermelon Rd, Northport, AL, 354735204.
What is Charles E Gambla's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charles E Gambla is Mohs-micrographic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Nd0101X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275573107 to Charles E Gambla?
The Centers for Medicare & Medicaid Services assigned the 1275573107 to Charles E Gambla on 2006-06-08.
When was the information regarding Charles E Gambla most recently updated?
The details pertaining to the Charles E Gambla, including its address, specialty, and other relevant information, were last refreshed on 2010-09-28.
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