Individual
MS. JOSEPHINE DILLARD GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 481-6734
Mailing address
2755 HAZEL ST, AUGUSTA, GA 30909-5202
(706) 733-0188
(706) 481-6734
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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