Gardner, Donald Nelson

Gardner, Donald Nelson is an individual health care provider with primary practice located at 4530 Fayetteville Rd , Raleigh NC 27603-3614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gardner, Donald Nelson can be contacted via phone (919) 235-1930.

Contact Information

Primary practice address
4530 Fayetteville Rd Raleigh NC 27603-3614
Phone: (919) 235-1930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30025 North Carolina

Profile Details

NPI number 1659344141
LBN Legal business name Gardner, Donald Nelson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Dec 22nd, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659344141 NPPES
North Carolina MEDICAID 1659344141

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