Gardiner, Scott Patrick

Gardiner, Scott Patrick is an sole proprietor health care provider with primary practice located at 2095 Henry Tecklenburg Dr , Charleston SC 29414-5733. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Gardiner, Scott Patrick can be contacted via phone (843) 402-1436.

Contact Information

Primary practice address
2095 Henry Tecklenburg Dr Charleston SC 29414-5733
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD025623 Louisiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 025623 Louisiana

Profile Details

NPI number 1548299001
LBN Legal business name Gardiner, Scott Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Jun 12th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1548299001 NPPES
South Carolina MEDICAID 84814
South Carolina MEDICAID 009942897
South Carolina MEDICAID 1045225
South Carolina Other P00406791

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