Organization
GASTON CARDIAC ANESTHESIS AND
Active
Organization
GASTON CARDIAC ANESTHESIS AND
Active
Other names
GASTON CARDIAC ANESTHESIS AND CRITICAL CARE MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA A BOWERS (CORP BILLING MGR)
(704) 864-8772
Entity
Organization
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
Mailing address
PO BOX 12752, GASTONIA, NC 28052-0014
(704) 864-8772
(704) 866-7853
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0163L
NC BC
NC
05
—
790163L
—
NC
01
—
CI9838
PALMETTO RR MEDICARE
NC
05
—
NPA834
—
SC
Enumeration date
05/27/2006
Last updated
02/26/2008
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