Gardner, Jerome B.

Gardner, Jerome B. is an individual health care provider with primary practice located at 4414 Lake Boone Trl Ste 205, Raleigh NC 27607-7513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Gardner, Jerome B. can be contacted via phone (919) 788-4444.

Contact Information

Primary practice address
4414 Lake Boone Trl Ste 205 Raleigh NC 27607-7513
Phone: (919) 788-4444
Fax: (919) 788-4464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 28189 North Carolina

Profile Details

NPI number 1811978067
LBN Legal business name Gardner, Jerome B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jun 4th, 2012 - about 13 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 1811978067 NPPES
North Carolina Other 34519 BCBS OF NC
North Carolina Other 206520H BCBS OF NC

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