Gardener, Tishana
Gardener, Tishana is an sole proprietor health care provider with primary practice located at 107 N Mcdonough St , Decatur GA 30030-3317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gardener, Tishana can be contacted via phone (678) 772-9935.Contact Information
Primary practice address
107 N Mcdonough St
Decatur GA 30030-3317
Phone: (678) 772-9935
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 317752 | Georgia |
Profile Details
| NPI number | 1801246608 |
|---|---|
| LBN Legal business name | Gardener, Tishana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2016 |
| Last updated | Nov 18th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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