Gardner, Beau
Gardner, Beau is an individual health care provider with primary practice located at 1330 Interstate Pkwy , Augusta GA 30909-5625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gardner, Beau can be contacted via phone (706) 651-2020.Contact Information
Primary practice address
1330 Interstate Pkwy
Augusta GA 30909-5625
Phone: (706) 651-2020
Fax: (706) 855-6674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 059644 | Georgia |
Profile Details
| NPI number | 1093798993 |
|---|---|
| LBN Legal business name | Gardner, Beau |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | May 28th, 2015 - about 11 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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