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Individual

MRS. CAROL ANN GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2367B CYPRESS CIR, CONWAY, SC 29526-8921
(843) 349-1001
(843) 349-1008
Mailing address
PO BOX 2180, CONWAY, SC 29528-2180
(843) 349-1001
(843) 234-6990

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN1210
SC

Other

Enumeration date
08/24/2005
Last updated
10/06/2016
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