Individual
DAVID GARDENHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7104 BONNY OAKS DR, CHATTANOOGA, TN 37421-1003
(423) 893-9993
Mailing address
7104 BONNY OAKS DR, CHATTANOOGA, TN 37421-1003
(423) 893-9993
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
L000000032292
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518109982
NON-MEDICAL
TN
Enumeration date
07/03/2023
Last updated
07/03/2023
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