Gardner, Beau

Gardner, Beau is an individual health care provider with primary practice located at 1330 Interstate Pkwy , Augusta GA 30909-5625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gardner, Beau can be contacted via phone (706) 651-2020.

Contact Information

Primary practice address
1330 Interstate Pkwy Augusta GA 30909-5625
Fax: (706) 855-6674
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 059644 Georgia

Profile Details

NPI number 1093798993
LBN Legal business name Gardner, Beau
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated May 28th, 2015 - about 9 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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