| Organization Name: | GARDLIN MED GROUP INC |
| NPI Number: | 1194032011 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNETH CARDLIN (CEO) |
| Mailing Address: | 829 Bethel Rd Ste 319 Columbus |
| State: | OH US |
| Postal Code: | 432141903 |
| Phone Number: | 6149621705 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2010 |
| NPI Last Update Date: | 10/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35.066559 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |