Gardner, Harold Lamar

Gardner, Harold Lamar is an individual health care provider with primary practice located at 3990 Columbia Rd , Martinez GA 30907-2220. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gardner, Harold Lamar can be contacted via phone (706) 860-1122.

Contact Information

Primary practice address
3990 Columbia Rd Martinez GA 30907-2220
Phone: (706) 860-1122
Fax: (706) 860-3839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY000488 Georgia

Profile Details

NPI number 1972652006
LBN Legal business name Gardner, Harold Lamar
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 18 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 1972652006 NPPES
Georgia MEDICAID 00083663A

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