Individual
DR. JAMES ERIC GARDNER
Active
Individual
DR. JAMES ERIC GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35417
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120944
—
MS
05
—
5442058
—
TN
01
—
P00463969
RAILROAD
—
Enumeration date
05/07/2007
Last updated
06/03/2015
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