Search › Georgia › 207N00000X
Jeffrey Gardner
NPI 1366901324 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2383 Pate St N
Snellville, GA 30078 - Phone
- (770) 972-4845
- Fax
- (770) 972-0358
- Organisation at this address
- Gwinnett Dermatology Pc D/B/A Georgia Dermatology Partners
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Additional practice sites
- 1250 E 66th St, Savannah, GA
- 55 Fruit St, Boston, MA
- 55 Fruit St, Boston, MA
- 11234 Anderson St # C, Loma Linda, CA
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 207N00000X
390200000X - Licence states on file
- CA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia