Individual
ALETA MARIA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2978 HIGHWAY 36 W, JACKSON, GA 30233
(770) 504-2168
(770) 504-2140
Mailing address
2978 HIGHWAY 36 W, JACKSON, GA 30233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
046851
GA
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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