Individual
MRS. TRACY LEIGH MCCALLISTER GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 VERMILLION ST., ATHENS, WV 24712
(304) 384-5954
(304) 384-5117
Mailing address
PO BOX 1000, CM 77, ATHENS, WV 24712
(304) 384-5954
(304) 384-5117
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001112
WV
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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