Individual
VINCENT WAYNE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1405 COWART ST, SUITE 321, CHATTANOOGA, TN 37408-1127
(423) 551-8346
(423) 551-8347
Mailing address
1405 COWART ST, SUITE 321, CHATTANOOGA, TN 37408-1127
(423) 551-8346
(423) 551-8347
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
061073
GA
202K00000X
Phlebology Physician
Primary
46227
TN
208600000X
Surgery Physician
061073
GA
208600000X
Surgery Physician
46227
TN
Other
Enumeration date
02/14/2006
Last updated
05/09/2016
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