Individual
DANIEL GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL, CHARLESTON, SC 29425
(740) 466-6803
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL87576
SC
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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