Timothy Lee Gardner in Johnson City - Procedural Dermatology
Timothy Lee Gardner - NPI 1861482465
Timothy Lee Gardner is a Procedural Dermatology in Johnson City, Tennessee. Timothy Lee Gardner practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Timothy Lee Gardner is 1861482465. The last update date is 2009-06-01.
Timothy Lee Gardner's current location address is 1009 N State Of Franklin Access Rd, Johnson City, Tennessee. You can contact this provider via phone number 4239297546 and fax number 4239297968. The mailing address for Timothy Lee Gardner is 1009 N State Of Franklin Access Rd, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Lee Gardner |
|---|---|
| Address | 1009 N State Of Franklin Access Rd, Johnson City, Tennessee |
| Phone Number | 4239297546 |
| Fax Number | 4239297968 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1861482465 |
|---|---|
| Provider Enumeration Date | 2005-10-25 |
| Last Updated Date | 2009-06-01 |
Provider Mailing Address Detail
| Address | 1009 N State Of Franklin Access Rd |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376043693 |
| Phone Number | 4239297546 |
| Fax Number | 4239297968 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 38003 |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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What is the unique identifier code issued to Timothy Lee Gardner by the Centers for Medicare & Medicaid Services?
The Timothy Lee Gardner has been assigned the NPI (National Provider Identifier) 1861482465. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Timothy Lee Gardner located?
The Timothy Lee Gardner is located at 1009 N State Of Franklin Access Rd, Johnson City, TN 376043693.
What is Timothy Lee Gardner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Timothy Lee Gardner's area of specialization is Procedural Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207Ns0135X.
On what date did the Timothy Lee Gardner receive its 1861482465 assignment from the Centers for Medicare & Medicaid Services?
The Timothy Lee Gardner was assigned its 1861482465 by the Centers for Medicare & Medicaid Services on 2005-10-25.
When was the information related to Timothy Lee Gardner most recently updated or refreshed?
The details pertaining to the Timothy Lee Gardner, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-06-01.