Individual
MRS. ERINN L GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 OLD BALL GROUND HWY, SUITE B, CANTON, GA 30114-2890
(770) 953-3331
(770) 720-8211
Mailing address
8200 ROBERTS DR STE 450, SANDY SPRINGS, GA 30350-4115
(770) 952-8612
(678) 803-6944
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
59413
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688142215B
—
GA
05
—
688142215C
—
GA
05
—
688142215D
—
GA
05
—
688142215E
—
GA
05
—
688142215F
—
GA
Enumeration date
07/10/2006
Last updated
11/12/2020
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