Gardner, Timothy Lee

Gardner, Timothy Lee is an individual health care provider with primary practice located at 1009 N State Of Franklin Access Rd , Johnson City TN 37604-3693. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Gardner, Timothy Lee can be contacted via phone (423) 929-7546.

Contact Information

Primary practice address
1009 N State Of Franklin Access Rd Johnson City TN 37604-3693
Phone: (423) 929-7546
Fax: (423) 929-7968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 38003 Tennessee
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 38003 Tennessee
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 38003 Tennessee

Profile Details

NPI number 1861482465
LBN Legal business name Gardner, Timothy Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jun 1st, 2009 - about 17 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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