George T. Gamblin, MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

31988 Issued in NC

Legal business name

GEORGE T. GAMBLIN, MD PA

Practice address

10500 Whitestone Rd
Raleigh, NC 27615-1238

Phone

(919) 870-4634

NPI assigned

May 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George T Gamblin, MD

Title

President

Phone

(919) 870-4634

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669688529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 WHITESTONE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151238",
            "telephone_number": "919-870-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 WHITESTONE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151238",
            "telephone_number": "919-870-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE T. GAMBLIN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAMBLIN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-870-4634",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "31988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8934462",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Gentry
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• Caroline Ferguson George, RPH
• Jennifer Ann George, LCSWA
• Jeremy Michael George, MA
• Marie Chery George

• Specialist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.