Individual
DONNA R GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3800 ROBERT PORCHER WAY, SUITE 200, GREENSBORO, NC 27410-2190
(336) 282-0376
(336) 282-0379
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 282-0376
(336) 282-0379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30643
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103566
UHC OF NC
NC
01
—
16216
PARTNERS MEDICARE
NC
01
—
34947
BCBS OF NC
NC
01
—
36968
MEDCOST
NC
05
—
8934947
—
NC
Enumeration date
10/05/2006
Last updated
04/07/2014
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