Gardner, John Harvey

Gardner, John Harvey is an individual health care provider with primary practice located at 1455 Union Ave , Memphis TN 38104-6727. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Gardner, John Harvey can be contacted via phone (901) 726-6655.

Contact Information

Primary practice address
1455 Union Ave Memphis TN 38104-6727
Phone: (901) 726-6655
Fax: (901) 726-9056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD6965 Tennessee
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X MD6965 Tennessee
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X MD6965 Tennessee

Profile Details

NPI number 1669445276
LBN Legal business name Gardner, John Harvey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Apr 22nd, 2009 - about 16 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 1669445276 NPPES
Tennessee MEDICAID 3171118

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