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Phillip Gardner
NPI 1538629209 · on the registry since 2019 · sole proprietor
Practice
- Address
- 107 Knox Abbott Dr Unit 1304
Cayce, SC 29033 - Phone
- (704) 913-3364
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-01
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 South Carolina