Individual
DR. EDWIN EDISON GATEWOOD
Active
Individual
DR. EDWIN EDISON GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101054731
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-006
TRICARE/CHAMPUS
VA
05
—
007110600
—
VA
01
—
0520K
BC/BS
NC
01
—
120503
VALUE OPTIONS
—
01
—
155139
MHN
—
01
—
209852
MAGELLAN
—
01
—
263582
UHC/MAMSI
VA
01
—
283237
ANTHEM
VA
05
—
690520K
—
NC
01
—
89030
SENTARA / OPTIMA
VA
01
—
PAR
FIRST HEALTH COMMERCIAL
VA
Enumeration date
02/15/2006
Last updated
10/22/2020
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