Beverly Joan Gardner in Crossville - Medical
Beverly Joan Gardner - NPI 1629089065
Beverly Joan Gardner is a Medical in Crossville, Tennessee. Beverly Joan Gardner practices all healthcare services and medical treatments related to Medical. The NPI Number for Beverly Joan Gardner is 1629089065. The last update date is 2020-12-01.
Beverly Joan Gardner's current location address is 131 S Webb Ave, Crossville, Tennessee. You can contact this provider via phone number 9314845379 and fax number 9314845946. The mailing address for Beverly Joan Gardner is 131 S Webb Ave, Crossville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly Joan Gardner |
|---|---|
| Address | 131 S Webb Ave, Crossville, Tennessee |
| Phone Number | 9314845379 |
| Fax Number | 9314845946 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1629089065 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2020-12-01 |
Provider Mailing Address Detail
| Address | 131 S Webb Ave |
|---|---|
| City | Crossville |
| State | Tennessee (TN) |
| Post Code | 385558452 |
| Phone Number | 9314845379 |
| Fax Number | 9314845946 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA632 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00239251 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Beverly Joan Gardner's 1629089065?
The Beverly Joan Gardner's NPI (National Provider Identifier) Number is 1629089065. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Beverly Joan Gardner's facilities are situated?
The facilities of Beverly Joan Gardner are physically located at the following address: 131 S Webb Ave, Crossville, TN, 385558452.
What is Beverly Joan Gardner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Beverly Joan Gardner is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did Beverly Joan Gardner receive its 1629089065 assignment from the Centers for Medicare & Medicaid Services?
The Beverly Joan Gardner was assigned its 1629089065 on 2006-08-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Beverly Joan Gardner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Beverly Joan Gardner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-12-01.