Individual
DR. JASON ROSS GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2239 GEORGIA HIGHWAY 20 SE, SUITE D, CONYERS, GA 30013-2091
(770) 922-8150
(770) 922-8151
Mailing address
2239 GEORGIA HIGHWAY 20 SE, SUITE D, CONYERS, GA 30013-2091
(770) 922-8150
(770) 922-8151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007480
GA
Other
Enumeration date
01/30/2006
Last updated
02/09/2010
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