Michael Gardner's National Provider Identifier (NPI) Details
Michael Gardner, LCSW
NPI: 1609149210
Enumeration Date: 2012-02-13
Last updated: 2012-02-13
Sole Proprietor: YES
Status: active
Postal Address: 6937 SICILIA LN, CORRYTON, TN
Phone: 865-399-4033
Primary Practice Address: 5410 HOMBERG DR, SUITE 14, KNOXVILLE, TN
Practice's phone: 865-588-3178