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NPI Code Detail

MEDICARE: ALCALEN GOMBAR

MEDICARE: ALCALEN GOMBAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician

General Provider Information

NPI Number : 1710834726
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALCALEN GOMBAR
Provider Business Mailing Address
First Line : 122 W FORSYTH ST
Second Line :
City : AMERICUS
State : GA
Zip : 31709-3561
Country : US
Telephone Number : 229-591-4000
Fax Number :
Provider Business Practice Location Address
First Line : 940 GA HIGHWAY 96 STE C
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-2585
Country : US
Telephone Number : 229-591-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ ALCALEN GOMBAR ” Practice Location

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