Individual
DR. STEVEN DEWAYNE GAMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
408 TYLER HOLMES DR, WINONA, MS 38967-1522
(662) 283-8205
Mailing address
408 TYLER HOLMES DR, WINONA, MS 38967-1522
(662) 283-8205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20050
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20050
STATE LICENSE
MS
Enumeration date
10/31/2007
Last updated
01/22/2013
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