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Individual

DR. JOHN S GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Mailing address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
51733
TN
207RI0011X
Interventional Cardiology Physician
Primary
51733
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51733
LICENSE
TN
Enumeration date
06/06/2008
Last updated
03/31/2016
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