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Individual

RONALD GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
545 W BUTLER RD, GREENVILLE, SC 29607-4833
(864) 299-1990
(864) 299-9123
Mailing address
545 W BUTLER RD, GREENVILLE, SC 29607-4833
(864) 299-1990
(864) 299-9123

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11848
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118483
SC
Enumeration date
03/28/2006
Last updated
05/26/2013
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