Individual
ARIEL GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4208 MURDOCKSVILLE RD, WEST END, NC 27376-8871
(910) 235-5900
(910) 235-3447
Mailing address
4208 MURDOCKSVILLE RD, WEST END, NC 27376-8871
(910) 235-5900
(910) 235-3447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11189
NC
363A00000X
Physician Assistant
56812
CA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q023242
—
TN
Enumeration date
12/28/2015
Last updated
05/07/2021
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