Individual
JEROME GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2960 HARDMAN COURT, ATLANTA, GA 30305
(404) 261-8880
Mailing address
2960 HARDMAN COURT, ATLANTA, GA 30305
(404) 261-8880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN009727
GA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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