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Jerome Gardner
NPI 1316148588 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2960 Hardman Court
Atlanta, GA 30305 - Phone
- (404) 261-8880
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia