Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN PARKS GARDNER, M.D.
ActiveDR. JONATHAN PARKS GARDNER, M.D. is a Interventional Vascular Surgery healthcare provider located in LADSON, South Carolina. NPI 1992904528 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · LADSON, SC
Registration Details
- NPI Number
- 1992904528
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2007 (19.0915645862 yrs)
- Last Updated
- Feb 12, 2026
- Licenses
-
28124 (SC)28124 (SC)28124 (SC)
Practice Information
- Address
-
9404 HIGHWAY 78 STE 100LADSON, SC, 294563909Browse SC providers · Browse ZIP 29456
- Phone
- 8437370437
- Fax
- 8437893053
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
- Additional Specialty
- Vascular Surgery
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.