Individual
ANDREW GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
409 TYLER HOLMES DR, WINONA, MS 38967-1521
(662) 283-8252
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5512
MS
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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