Crystal A Gardner (NPI# 1336349901, PAC ID# 1759470594) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1336349901 |
| PAC ID by PECOS | 1759470594 |
| Professional Enrollment ID | I20110718000387 |
| Full Name | Crystal A Gardner |
| Address |
990 Bear Creek Blvd D Hampton GA 30228-1864 |
| Gender | F |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2007 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 990 Bear Creek Blvd D, Hampton, GA 30228-1864 |
| Street Address |
990 BEAR CREEK BLVD D |
| City | HAMPTON |
| State | GA |
| Zip | 30228-1864 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandt Curtis Adams | Chiropractic | 1062 Bear Creek Blvd, Suite 100, Hampton, GA 30228-1849 | |
| Maritess Thomas-ford | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 |
| Vera Lafosse | Family Medicine | Eagle's Landing Family Practice, Inc. | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 |
| Veronica L Mills | Physician Assistant | Eagle's Landing Family Practice, Inc. | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 |
| Crystal Bales | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 |
| David Farmer | Physician Assistant | Eagle's Landing Family Practice, Inc. | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 |
| Lashunda D Williams | Family Medicine | Eagle's Landing Family Practice, Inc. | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 |
| Collyn A Steele | Family Medicine | Eagle's Landing Family Practice, Inc. | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 |
| Christine Ndetti | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 |
| Raymond Scott Dickerson | Physician Assistant | Eagle's Landing Family Practice, Inc. | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 |
| Find all physicians in zip 30228 | |||
| City | HAMPTON |
| Zip Code | 30228 |
| Specialty | OPTOMETRY |
| City + Specialty | HAMPTON + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.