Provider Demographics
NPI:1982856035
Name:JAMES T GABLE, D.O. P.C.
Entity Type:Organization
Organization Name:JAMES T GABLE, D.O. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:T
Authorized Official - Last Name:GABLE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:703-777-3262
Mailing Address - Street 1:224D CORNWALL ST NW
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2701
Mailing Address - Country:US
Mailing Address - Phone:703-777-3262
Mailing Address - Fax:703-777-3365
Practice Address - Street 1:224D CORNWALL ST NW
Practice Address - Street 2:SUITE 204
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-2701
Practice Address - Country:US
Practice Address - Phone:703-777-3262
Practice Address - Fax:703-777-3365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102021182207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty