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Individual

DR. SKY RAMSEY GWINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
LYSTER ARMY HEALTH CLINIC, 301 ANDREWS AVENUE, FORT RUCKER, AL 36362-5333
(800) 261-7193
(334) 255-7710
Mailing address
3551 ROGER BROOKE DRIVE, BAMC, MCHE-QD (CREDS), JBSA-FORT SAM HOUSTON, TX 78234-4504
(210) 916-8176
(210) 916-4721

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
26865
WV
207R00000X
Internal Medicine Physician
Primary
26865
WV
208D00000X
General Practice Physician
26865
WV
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/02/2014
Last updated
06/11/2021
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