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
Phone: (843) 402-1436
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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