Organization
GATEWAY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T. MITCHELL (BUSINESS MANAGER)
(843) 651-2624
Entity
Organization
Contact information
Practice address
1007 HARLOW RD, SUITE 110, SPRINGFIELD, OR 97477-7124
(541) 726-8882
(541) 726-8844
Mailing address
PO BOX 4860, MURRELLS INLET, SC 29576-2698
(843) 651-2624
(843) 357-4940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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