MR. Edward Cabell Gardner

NPI #1477868925 in Glade Hill, Virginia

Provider Information

NPI Number: 1477868925
Entity Type: Individual
Name: MR. Edward Cabell Gardner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Aug 9, 2010
Last Updated: Aug 9, 2010

Practice Location

Address: 1305 FARM VIEW RD
City: Glade Hill
State: Virginia
ZIP Code: 24092-1799
Phone: (540) 493-5683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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