Individual
JAMES EDWIN WINGATE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3719 DAUPHIN ST, ANESTHESIA DEPARTMENT, MOBILE, AL 36608-1753
(251) 342-3000
Mailing address
PO BOX 851417, MOBILE, AL 36685-1417
(251) 342-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1079519
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105636
—
AL
05
—
105637
—
AL
01
—
CN0216
MEDICARE TRAVELERS
AL
Enumeration date
09/29/2008
Last updated
03/11/2009
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