Individual
BEN A GARDNER
Active
Individual
BEN A GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17712
TN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
17712
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3024573
—
TN
01
—
3154189
BCBSTN
TN
05
—
3710089
—
TN
Enumeration date
08/25/2006
Last updated
03/08/2016
Update your record
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