Jerome B. Gardner is a Gynecology in Raleigh, North Carolina. Jerome B. Gardner practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Jerome B. Gardner is 1811978067. The last update date is 2012-06-04.
Jerome B. Gardner's current location address is 4414 Lake Boone Trl, Raleigh, North Carolina. You can contact this provider via phone number 9197884444 and fax number 9197884464. The mailing address for Jerome B. Gardner is 4414 Lake Boone Trl, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome B. Gardner |
|---|---|
| Address | 4414 Lake Boone Trl, Raleigh, North Carolina |
| Phone Number | 9197884444 |
| Fax Number | 9197884464 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811978067 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2012-06-04 |
Provider Mailing Address Detail
| Address | 4414 Lake Boone Trl |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276077513 |
| Phone Number | 9197884444 |
| Fax Number | 9197884464 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 28189 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34519 | NC | BCBS OF NC | |
| 206520H | NC | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jerome B. Gardner by the Centers for Medicare & Medicaid Services?
The Jerome B. Gardner has been issued the NPI (National Provider Identifier) 1811978067, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jerome B. Gardner located?
The Jerome B. Gardner is located at 4414 Lake Boone Trl, Raleigh, NC 276077513.
What is the Jerome B. Gardner's area of specialization and corresponding taxonomy classification?
The Jerome B. Gardner's specialty field is Gynecology, and it falls under the taxonomy code 207Vg0400X, which categorizes healthcare providers based on their specialties.
On what date did the Jerome B. Gardner receive the assignment of its 1811978067 from the Centers for Medicare & Medicaid Services?
The Jerome B. Gardner was issued its 1811978067 by the Centers for Medicare & Medicaid Services on 2005-11-07.
As of what date were the details related to Jerome B. Gardner most recently updated or revised?
The information pertaining to Jerome B. Gardner, including its address, specialty, and other relevant details, was last updated or revised on 2012-06-04.
NPI Number: 1962405878
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