Organization
ALAN GARDNER MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN GARDNER MD (OWNER)
(909) 335-8638
Entity
Organization
Contact information
Practice address
2550 WINDY HILL RD SE, 220, MARIETTA, GA 30067-8665
(909) 335-8638
(909) 335-8644
Mailing address
PO BOX 402904, ATLANTA, GA 30384-2904
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
05/08/2013
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