Individual provider · Type 1 NPI
Jason Ross Gardner, DC
Chiropractor · Conyers, GA
NPI number
1790756500
Active
Practice location
2239 Georgia Highway 20 SE, Suite D
Conyers, GA 30013-2091
Fax (770) 922-8151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR007480 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1790756500
Jason Ross Gardner, DC's National Provider Identifier is 1790756500, issued on Jan 30, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Conyers, GA. The record was last updated on Feb 9, 2010.