Individual
DR. BEAU GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 INTERSTATE PKWY, AUGUSTA, GA 30909-5625
(706) 651-2020
(706) 855-6674
Mailing address
1330 INTERSTATE PKWY, AUGUSTA, GA 30909-5625
(706) 651-2020
(706) 855-6674
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
059644
GA
Other
Enumeration date
11/23/2005
Last updated
05/28/2015
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