person
Mrs. Beverly Joan Gardner, PA-C
Medical Physician Assistant in Crossville, Tennessee
NPI 1629089065

Beverly Joan Gardner is a Medical Physician Assistant based in Crossville, TN and is specialized in Medical. Beverly Joan Gardner practices in Crossville, TN and has the professional credentials of PA-C. The NPI Number for Beverly Joan Gardner is 1629089065 and holds a License No. PA632 (Tennessee).

The current practice location address for Beverly Joan Gardner is 131 S Webb Ave, Crossville, TN and can be reached out via phone at 931-484-5379 and via fax at 931-484-5946. You can also correspond with Beverly Joan Gardner through the mailing address at 131 S WEBB AVE, CROSSVILLE, TN - 38555-8452 (mailing address contact number: 931-484-5379).

Location: 131 S Webb Ave, Crossville, TN, 38555-8452
person
Provider Profile Details
NPI Number
1629089065
Provider Name
Beverly Joan Gardner
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
131 S Webb Ave, Crossville, TN, 38555-8452
Phone Number
931-484-5379
Fax Number
931-484-5946
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00239251 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
131 S Webb Ave
City
State
Zip
38555-8452
Phone Number
931-484-5379
Fax Number
931-484-5946
person
Provider Business Mailing Address Details
Address
131 S Webb Ave
City
State
Zip
38555-8452
Phone Number
931-484-5379
Fax Number
931-484-5946
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA632 (Tennessee)
Definition
Definition to come...
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