Gardner, James Matthew

Gardner, James Matthew is an individual health care provider with primary practice located at 613 Campus Dr Suite 200, Abingdon VA 24210-9703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gardner, James Matthew can be contacted via phone (276) 628-1186.

Contact Information

Primary practice address
613 Campus Dr Suite 200 Abingdon VA 24210-9703
Phone: (276) 628-1186
Fax: (276) 628-8507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101049730 Virginia

Profile Details

NPI number 1528039054
LBN Legal business name Gardner, James Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Feb 2nd, 2017 - about 9 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 1528039054 NPPES
Virginia MEDICAID 1528039054

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