Gardner, James Eric

Gardner, James Eric is an sole proprietor health care provider with primary practice located at 1750 Madison Ave Suite 300, Memphis TN 38104-6492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Gardner, James Eric can be contacted via phone (901) 861-8088.

Contact Information

Primary practice address
1750 Madison Ave Suite 300 Memphis TN 38104-6492
Fax: (901) 861-8082
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35417 Tennessee

Profile Details

NPI number 1801009089
LBN Legal business name Gardner, James Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Jun 3rd, 2015 - about 9 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 1801009089 NPPES
Other P00463969 RAILROAD
MEDICAID 5442058 RAILROAD
MEDICAID 00120944 RAILROAD

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