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:

Map and Directions

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 4 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

State	Type	Number	Issuer
All States	NPI	1962473231	NPPES
North Carolina	MEDICAID	891027X

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