# GALE GARDNER, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649461435
- **Authorized official:** MRS. CHARLOTTE GARDNER BURKE (SECRETARY/TREASURER)
- **Authorized official phone:** (901) 725-5167

## Contact information

- **Practice address:** 1910 MADISON AVE, PMB \#620, MEMPHIS, TN 38104-2620
- **Practice address phone:** (901) 725-5167
- **Practice address fax:** (901) 725-7653
- **Mailing address:** 1910 MADISON AVE, PMB \#620, MEMPHIS, TN 38104-2620
- **Mailing address phone:** (901) 725-5167
- **Mailing address fax:** (901) 725-7653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 3843 | TN | Yes |

## Other

- **Enumeration date:** 08/06/2007
- **Last updated:** 08/06/2007