Male or Other

Vincent W. Gardner M.D.

Phlebology Physician in Chattanooga, TN(View on Map)

Full Name

Vincent Wayne Gardner M.D.

NPI Number

1962476358

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/14/2006

Specialties

(Taxonomies)

Code

202K00000X
208600000X

Primary Taxonomy

Yes
No

Licenses

State

Georgia
Tennessee

License Number

061073
46227

Contact
Information

Purpose

Mailing
Location

Address

1405 COWART ST
1405 COWART ST

City

Chattanooga
Chattanooga

State

TN
TN

Postal Code

37408-1127
37408-1127

Country

US
US

Telephone Number

(423) 551-8346
(423) 551-8346

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/09/2016

Provider Address