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Contact Information

BEVERLY G GARDNER, LDN
407 CRUTCHFIELD ST
DURHAM, NC27704-2726
 Phone: 919-470-6516
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for BEVERLY G GARDNER · (Female)

NPI # 1760552947
Status Active
Credentials LDN
Entity Individual
Enumeration date 11/08/2006
Last updated 05/25/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NC License # L000559
  • SC License # L000559
Hospital affiliation(s)
  • DUKE UNIVERSITY HOSPITAL - (Acute Care)
    PO BOX 3708 DUMC ERWIN RD
    DURHAM, NC 27710
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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