Individual
DR. ALEXANDER ROGERS GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, MPH
Contact information
Practice address
410 CONNELL RD STE T, VALDOSTA, GA 31602-1899
(229) 242-9565
Mailing address
410 CONNELL RD STE T, VALDOSTA, GA 31602-1899
(229) 242-9565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17471
GA
207Q00000X
Family Medicine Physician
Primary
224-T1
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2023
Last updated
03/08/2026
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