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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