Jonathan David Gardner M.D.

NPI 1639490840 - Internal Medicine - 207R00000X

NPI Details
NPI 1639490840
Gender Male
Enumeration Date 06/22/2010
Last Updated 10/25/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
1120 15TH ST
AUGUSTA GA, 30912-0004, US
Phone (706) 721-2423
Fax
Business Location
1120 15TH ST
AUGUSTA GA, 30912-0004, US
Phone (706) 721-2423
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 69595
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According to our database, Dr. Jonathan David Gardner M.D. NPI is 1639490840, taxonomy code is 207R00000X and license number is 69595, license state is located at Georgia. Jonathan David Gardner M.D. physically located at 1120 15th St, Augusta GA, 30912-0004. NPI Number Jonathan David Gardner M.D. has the Individual type.

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1639490840 NPI number is provided on an as is basis without warranty of any kind. 1639490840 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan David Gardner M.D. are for informational purposes only.