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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PETER THOMAS GARDNER, MD

Active

PETER THOMAS GARDNER, MD is a General Practice healthcare provider located in JACKSON, Tennessee. NPI 1821127093 is currently active in the NPPES registry. Verify at CMS.

General Practice · JACKSON, TN

Registration Details

NPI Number
1821127093
Provider Type
Individual
Gender
Male
NPI Issued
Mar 5, 2007 (19.464531496194 yrs)
Last Updated
Jun 29, 2011
Licenses
26391 (TN)
MD26391 (TN)

Practice Information

Address
2075 PLEASANT PLAINS EXT RD
JACKSON, TN, 383056087
Browse TN providers · Browse ZIP 38305
Phone
7319848400
Fax
7319848305
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice

Other General Practice Providers in JACKSON, TN

Name Credential NPI
JAMES W HOPPERS JR. MD 1376511212
DONALD LAFONT MD 1124475371
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.