Gardner, Jeffrey Thomas

Gardner, Jeffrey Thomas is an sole proprietor health care provider with primary practice located at 2383 Pate St N , Snellville GA 30078-3250. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Gardner, Jeffrey Thomas can be contacted via phone (770) 972-4845.

Contact Information

Primary practice address
2383 Pate St N Snellville GA 30078-3250
Phone: (770) 972-4845
Fax: (770) 972-0358
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4306 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 101335 Georgia

Profile Details

NPI number 1366901324
LBN Legal business name Gardner, Jeffrey Thomas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2019
Last updated Oct 14th, 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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