# GATE CITY ANESTHESIA, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225135361
- **Authorized official:** DIANE C CROWELL (BUSINESS MANAGER)
- **Authorized official phone:** (336) 478-2666

## Contact information

- **Practice address:** 1211 VIRGINIA ST, GREENSBORO, NC 27401-1313
- **Practice address phone:** (336) 272-0012
- **Mailing address:** 21A OAK BRANCH DR, GREENSBORO, NC 27407-2145
- **Mailing address phone:** (336) 478-2666
- **Mailing address fax:** (336) 851-0374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 12/01/2011