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Individual

HUGH A GAMBLE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
344 ARNOLD AVE, GREENVILLE, MS 38701-4711
(662) 332-8131
(662) 334-4478
Mailing address
344 ARNOLD AVE, GREENVILLE, MS 38701-4711
(662) 332-8131
(662) 334-4478

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
06723
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00019473
MS
05
107867001
AR
01
P00061867
RR MEDICARE
Enumeration date
06/03/2006
Last updated
05/15/2008
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