Gardner, Beverly G

Gardner, Beverly G is an individual health care provider with primary practice located at 407 Crutchfield St , Durham NC 27704-2726. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Gardner, Beverly G can be contacted via phone (919) 470-6516.

Contact Information

Primary practice address
407 Crutchfield St Durham NC 27704-2726
Phone: (919) 470-6516
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X L000559 South Carolina
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X L000559 North Carolina
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L000559 North Carolina

Profile Details

NPI number 1760552947
LBN Legal business name Gardner, Beverly G
Credentials LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated May 25th, 2016 - about 8 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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