Individual
MS. VICKY J GAMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7601 SOUTHCREST PARKWAY, SOUTHAVEN, MS 38671-4739
(662) 349-7535
(662) 349-7540
Mailing address
19602 HWY 57, MOSCOW, TN 38057-7170
(901) 877-6713
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0300
MS
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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