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NPI 1811978067

IndividualActive

Jerome Gardner, MD

NPI 1811978067 · Gynecology Physician · Raleigh, NC

Provider details

NPI number: 1811978067
Entity type: Individual
Primary specialty: Gynecology PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 28189 (NC)

Practice location

4414 Lake Boone Trl

Ste 205

Raleigh, NC 27607-7513

Phone: (919) 788-4444

Fax: (919) 788-4464

More NC providers

Mailing address

4414 Lake Boone Trl

Raleigh, NC 27607-7513

Registry dates

Enumerated: 2005-11-07
Last updated: 2012-06-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jerome Gardner, MD — NPI 1811978067, Raleigh, NC | NPI Central