Gardner, Graham T

Gardner, Graham T is an individual health care provider with primary practice located at 4 Willow Pt Ste 1B , Hattiesburg MS 39402-1150. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gardner, Graham T can be contacted via phone (601) 987-6580.

Contact Information

Primary practice address
4 Willow Pt Ste 1B Hattiesburg MS 39402-1150
Phone: (601) 987-6580
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R876117 Mississippi

Profile Details

NPI number 1306272976
LBN Legal business name Gardner, Graham T
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2013
Last updated Dec 4th, 2023 - about 3 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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