Individual
MAKAYLA ANNE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 HAMPTON AVENUE EXT STE 11B, GREENVILLE, SC 29601-1168
(864) 900-2975
Mailing address
16 OAKHURST AVE APT A, GREENVILLE, SC 29609-5487
(916) 955-2962
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
11686
SC
Other
Enumeration date
01/12/2023
Last updated
01/19/2023
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