Gardner, Stephen Ray
Gardner, Stephen Ray is an individual health care provider with primary practice located at 105 Doctors Dr , Greenville SC 29605-5608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Gardner, Stephen Ray can be contacted via phone (864) 797-7150.Contact Information
Primary practice address
105 Doctors Dr
Greenville SC 29605-5608
Phone: (864) 797-7150
Fax: (864) 797-7155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 12014 | South Carolina |
Profile Details
| NPI number | 1811992035 |
|---|---|
| LBN Legal business name | Gardner, Stephen Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | May 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811992035 | NPPES |
| South Carolina | MEDICAID | APPROVED |
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