Gardner, Michael Scott

Gardner, Michael Scott is an individual health care provider with primary practice located at 603 Smithview Dr , Maryville TN 37803-6100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gardner, Michael Scott can be contacted via phone (865) 983-0082.

Contact Information

Primary practice address
603 Smithview Dr Maryville TN 37803-6100
Phone: (865) 983-0082
Fax: (865) 977-1171
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1652 Tennessee

Profile Details

NPI number 1578590550
LBN Legal business name Gardner, Michael Scott
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jan 3rd, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578590550 NPPES
Tennessee MEDICAID 3331497
Tennessee Other P00251643

Popular Providers