Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILIAM SAMUEL GARDNER, ATC
Active Sole ProprietorWILIAM SAMUEL GARDNER, ATC is a Athletic Trainer healthcare provider located in MARION, Mississippi. NPI 1598493025 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MARION, MS
Registration Details
- NPI Number
- 1598493025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2022 (3.9799627056454 yrs)
- Last Updated
- Aug 11, 2022
- License
-
AT0421 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5417 BOXWOOD LNMARION, MS, 393429018Browse MS providers · Browse ZIP 39342
- Phone
- 6019176781
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.