Provider profile

Individual

Peter Thomas Gardner

General Practice in Jackson, TN. NPI 1821127093, listed in the CMS NPI Registry since 03/05/2007. Bills Medicare.

NPI 1821127093Specialty General PracticeEnumerated 03/05/2007
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Registry and Medicare facts

Practice location
2075 Pleasant Plains Ext Rd, Jackson, TN 38305
CMS NPI Registry
Phone
(731) 984-8400
CMS NPI Registry
Specialty
General Practice
CMS NPI Registry
Enumeration date
03/05/2007
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
1,746 Part B, 110 with Part D prescriptions
CMS Medicare 2024

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