NPI 1366901324

Jeffrey Thomas Gardner

Practitioner Dermatology Physician Snellville, GA

Practice location

Address: 2383 Pate St N, Snellville, GA 30078-3250
Phone: (770) 972-4845
Fax: (770) 972-0358

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 101335 (GA)

Other Dermatology providers in Georgia →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 4306 (CA)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Georgia →

Registry record

NPI: 1366901324
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Mar 2019
Record last updated: 14 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.