Individual
DR. JERRY RYAN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
927 COX RD, GASTONIA, NC 28054-3455
(704) 824-4463
(704) 824-4676
Mailing address
927 COX RD, GASTONIA, NC 28054-3455
(704) 824-4463
(704) 824-4676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3039
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89085FV
—
NC
Enumeration date
04/07/2006
Last updated
05/17/2010
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