Individual
STEPHEN RAY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
105 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 797-7150
(864) 797-7155
Mailing address
300 E MCBEE AVE, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
12014
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPROVED
—
SC
Enumeration date
06/15/2005
Last updated
05/12/2021
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