Individual
JENNIFER R GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2301 SOUTH LAMAR, SUITE 100, OXFORD, MS 38655
(662) 234-0119
(662) 513-9673
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5827
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
22739
MS
Other
Enumeration date
07/25/2007
Last updated
10/24/2016
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