Gardner, Colleen

Gardner, Colleen is an individual health care provider with primary practice located at 980 Johnson Ferry Rd Ne Suite 620, Atlanta GA 30342-1626. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gardner, Colleen can be contacted via phone (404) 255-2057.

Contact Information

Primary practice address
980 Johnson Ferry Rd Ne Suite 620 Atlanta GA 30342-1626
Phone: (404) 255-2057
Fax: (404) 256-4238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN082384 Georgia

Profile Details

NPI number 1033274675
LBN Legal business name Gardner, Colleen
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Feb 18th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033274675 NPPES
Georgia MEDICAID 594808436A

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