Individual
SCOTT PATRICK GARDINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1436
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
(225) 757-6228
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD025623
LA
207L00000X
Anesthesiology Physician
Primary
025623
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942897
—
AL
05
—
1045225
—
LA
05
—
84814
—
SC
01
—
P00406791
RAILROAD MEDICARE
GA
Enumeration date
06/30/2006
Last updated
06/12/2024
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