MRS. ERINN L GARDNER


Address: 100 Old Ball Ground Hwy, Suite B, Canton, GA 30114-2890
Phone: 7709533331

MRS. ERINN L GARDNER (NPI# 1538193438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538193438
Entity Type Individual
Full Name MRS. ERINN L GARDNER
Other Name MS. ERINN L TUCK
Credential MD
Practice Address 100 Old Ball Ground Hwy
Suite B
Canton
GA 30114-2890
Mailing Address 114 Townpark Dr Nw
Suite 240
Kennesaw
GA 30144-3715
Practice Telephone 7709533331
Practice Fax Number 7707208211
Mailing Telephone 7704853723
Mailing Fax Number 6788036944
Enumeration Date 2006-07-10
Last Update Date 2020-02-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology 059413 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 688142215B 05
GA 688142215C 05
GA 688142215E 05
GA 688142215F 05
GA 688142215D 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4645 Timber Ridge Dr Ste 160, Douglasville, GA 301357542 7709533331 7709202243

Office Location

Street Address 100 OLD BALL GROUND HWY
SUITE B
City CANTON
State GA
Zip Code 30114-2890

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285797829 Marietta Eye Optical Inc Durable Medical Equipment & Medical Supplies 100 Old Ball Ground Hwy, Canton, GA 30114-2890 2006-12-18
1316009616 Marietta Eye Clinic, Pa Optometrist 100 Old Ball Ground Hwy, Canton, GA 30114 2006-12-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619516093 Wickshire Canton Opco LLC Assisted Living Facility 125 Riverstone Terrace, Canton, GA 30114 2020-01-02
1154803583 Alixandra Nicole Flournoy Physical Therapist 131 Holly Street, Canton, GA 30114 2018-09-01
1588157341 Provident Group - Canton Cove Properties LLC Alzheimer Center (Dementia Center) 1100 Reinhardt College Parkway, Canton, GA 30114 2018-06-07
1003233107 Heartland Dental Care of Georgia Dentist 3237 Sixes Rd, Canton, GA 30114 2014-03-26
1730510959 Joseph Optical Eyewear Supplier (Equipment, not the service) 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 2013-12-13
1629313036 Ramona Morton Rasmussen Occupational Therapist 200 Riverstone Drive, Suite B, Canton, GA 30114 2012-12-11
1902154875 Yong Qiao Luo Acupuncturist 200 Oakside Lane, Suite D, Canton, GA 30114 2012-08-26
1215294350 Christina Lynn Hernandez Pediatrics 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 2012-04-13
1558638981 Stephen E Byrd Counselor 191 Lamar Haley Pkwy., Canton, GA 30114 2011-11-30
1073807855 Sheri Sullins Buckley Nurse Practitioner 120 Oakside Ct Ste H, Canton, GA 30114 2011-06-08
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891840625 Mohammad Akhtaruzzaman Allergy & Immunology 6119 St. Highway Rt 11, Canton, NY 13617-1450 2007-01-24
1487715157 Canton Asthma & Allergy PC Allergy & Immunology 1600 S Canton Center Rd Ste 360, Canton Asthma & Allergy, Canton, MI 48188-0004 2006-12-13
1518043728 Murli Manohar Allergy & Immunology 4942 Higbee Ave Nw, Suite E, Canton, OH 44718 2006-10-31
1447260633 Ronald A Van Tuyl Jr. Allergy & Immunology 215 Riverstone Dr, Canton, GA 30114 2006-08-09
1346280237 Robert B Berkowitz Allergy & Immunology 100 Old Ballground Hwy, Ste B, Canton, GA 30114 2006-06-08
1598733503 Steven R Morman Allergy & Immunology 4677 Fulton Dr Nw, Canton, OH 44718 2006-03-08
1588779748 John Thomas Given Allergy & Immunology 4048 Dressler Rd Nw, Suite 100, Canton, OH 44718-2784 2006-08-20
1629044037 Emily T Wang Allergy & Immunology 1600 S Canton Center Rd, Suite 360, Canton, MI 48188-1992 2006-02-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053935411 St. Mary's Medical Group, Inc. Allergy & Immunology 1360 Caduceus Way Bldg 200-102, Watkinsville, GA 30677-7349 2020-06-02
1750902185 Center for Allergy and Asthma Southern Crescent Allergy & Immunology 1975 Highway 54 W Ste 255, Peachtree City, GA 30269-4794 2020-04-27
1003472036 Annual Wellness Centers of America Allergy & Immunology 753 Old Norcross Rd Ste B, Lawrenceville, GA 30046-4312 2019-05-15
1821567371 Breathe Better Allergy Asthma & Sinus Center, Inc Allergy & Immunology 950 S Enota Dr Ne Ste A, Gainesville, GA 30501-2439 2018-11-14
1982111316 Sofia Miriam Sheikh Allergy & Immunology 4003 Oak Forest Dr Ne, Marietta, GA 30062-8022 2018-01-08
1366969560 Allergy Consulting Group, LLC Allergy & Immunology 5752b Buford Hwy Ne, Doraville, GA 30340-1207 2017-08-28
1235684192 Heather Raborn Allergy & Immunology 1350 Walton Way Ste 5100, Augusta, GA 30901 2016-08-22
1730597196 Allergy Testing Solutions, LLC Allergy & Immunology 789 Hammond Dr, Unit 2510, Sandy Springs, GA 30328-8161 2014-07-30
1164863999 Chih-yin Yeh Allergy & Immunology 5673 Peachtree Dunwoody Rd # 445, Atlanta, GA 30342-1731 2013-07-09
1023352069 Advanced Allergy Inc Allergy & Immunology 5512 Glenridge Dr Ne, Unit A, Atlanta, GA 30342-7213 2012-11-15
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Competitor

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City CANTON
Zip Code 30114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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