Gardner, Jonathan Parks
Gardner, Jonathan Parks is an individual health care provider with primary practice located at 9404 Highway 78 Ste 100 , Ladson SC 29456-3909. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Gardner, Jonathan Parks can be contacted via phone (843) 737-0437.Contact Information
Primary practice address
9404 Highway 78 Ste 100
Ladson SC 29456-3909
Phone: (843) 737-0437
Fax: (843) 789-3053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 28124 | South Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 28124 | South Carolina |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 28124 | South Carolina |
Profile Details
| NPI number | 1992904528 |
|---|---|
| LBN Legal business name | Gardner, Jonathan Parks |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Apr 9th, 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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