NPI 1124056957 · live from the CMS NPI Registry
Debra Gardner, M.D.
Pediatrics, Adolescent Medicine in Mobile, AL. National Provider Identifier 1124056957, active.
NPI record
| NPI | 1124056957 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 3290 Dauphin St, Suite 301, Mobile, AL 36606 |
| Practice phone | 251-435-5437 |
| Mailing address | 4013 Airport Blvd Ste C, Mobile, AL 36608 |
| Enumerated | June 29, 2006 |
| Last updated | February 19, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 16546 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.