Individual
MR. EDWARD CABELL GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 FARM VIEW RD, GLADE HILL, VA 24092-1799
(540) 493-5683
(540) 483-4453
Mailing address
1305 FARM VIEW RD, GLADE HILL, VA 24092-1799
(540) 493-5683
(540) 483-4453
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
171W00000X
VA
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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