Individual
DR. JAMES ERIC GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 MADISON AVE, SUITE 300, MEMPHIS, TN 38104-6492
(901) 861-8088
(901) 861-8082
Mailing address
PO BOX 38238, GERMANTOWN, TN 38183-0238
(901) 861-8088
(901) 861-8082
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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