Provider Demographics
NPI:1316913858
Name:GAMBER, JAMIE S (EDD, ATC)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:S
Last Name:GAMBER
Suffix:
Gender:F
Credentials:EDD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 ARNELL LN
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-6214
Mailing Address - Country:US
Mailing Address - Phone:334-821-9060
Mailing Address - Fax:
Practice Address - Street 1:400 1ST AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-3102
Practice Address - Country:US
Practice Address - Phone:334-740-0423
Practice Address - Fax:706-571-0080
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0012672255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer