Individual
JAMAR GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
(706) 780-1704
Mailing address
7434 OBRIEN LOOP, FORT BENNING, GA 31905-2760
(843) 441-1273
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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