Individual
ANNAGRACE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 LAKESHORE DR, BIRMINGHAM, AL 35229-0001
(205) 726-4720
Mailing address
800 LAKESHORE DR, BIRMINGHAM, AL 35229-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1936
AL
Other
Enumeration date
10/28/2024
Last updated
01/20/2025
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