Peter Thomas Gardner, MD

General Practice Physician · Jackson, TN

Individual Active NPI

NPI number 1821127093

Practice location

2075 Pleasant Plains Ext Rd
Jackson, TN 38305-6087
Phone
(731) 984-8400
Fax
(731) 984-8305

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NPI record

NPI
1821127093
Entity type
Individual (Type 1)
Enumeration date
March 5, 2007
Last updated
June 29, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X MD26391 TN
Student in an Organized Health Care Education/Training Program 390200000X 26391 TN

Mailing address

PO Box 12197
Dept
Jackson, TN 38308-0136
Phone
(731) 984-8400
Fax
(731) 984-8305

About Dr. Gardner

Peter Thomas Gardner, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 2075 Pleasant Plains Ext Rd, Jackson, TN 38305-6087. The NPI number 1821127093 was assigned on March 5, 2007 and the record was last updated on June 29, 2011.

Dr. Gardner lists 2 licenses in the registry: #MD26391 (TN) for General Practice Physician; #26391 (TN) for Student in an Organized Health Care Education/Training Program. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter Thomas Gardner, MD?

The NPI number is 1821127093.

What is the phone number of Dr. Gardner?

The phone number listed for the practice location is (731) 984-8400.

Where is Dr. Gardner located?

2075 Pleasant Plains Ext Rd, Jackson, TN 38305-6087.

What is the taxonomy code for Dr. Gardner?

The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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