Gardner, James Douglas
Gardner, James Douglas is an individual health care provider with primary practice located at 1351 Westgate Center Dr , Winston Salem NC 27103-2934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gardner, James Douglas can be contacted via phone (336) 718-7777.Contact Information
Primary practice address
1351 Westgate Center Dr
Winston Salem NC 27103-2934
Phone: (336) 718-7777
Fax: (336) 718-7744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0096-01612 | North Carolina |
Profile Details
| NPI number | 1962473231 |
|---|---|
| LBN Legal business name | Gardner, James Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Dec 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962473231 | NPPES |
| North Carolina | MEDICAID | 891027X |
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