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Individual

DR. JAMES THOMAS GARDINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
121 E 6TH ST, TUSCUMBIA, AL 35674-2413
(256) 383-0377
(256) 383-0745
Mailing address
121 E 6TH ST, TUSCUMBIA, AL 35674-2413
(256) 383-0377
(256) 383-0745

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4509
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005433243
AETNA
AL
05
009207250
AL
01
071697
BCBS TN
AL
01
251472
CIGNA
AL
01
341309
BCBS VA
AL
01
71020
BCBS MI
AL
01
858994
UNITED CONCORDIA
AL
01
91520
BCBS AL
AL
Enumeration date
07/27/2006
Last updated
02/29/2012
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