Individual
STEVEN G GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
341 WALLACE RD STE A, NASHVILLE, TN 37211-8001
(615) 834-3123
(615) 834-3008
Mailing address
401 EAST MAIN STREET, JOHNSON CITY, TN 37601-4877
(423) 929-2584
(423) 722-2060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110003139
VA
363AM0700X
Medical Physician Assistant
Primary
1879
TN
Other
Enumeration date
09/23/2009
Last updated
01/29/2018
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