Individual
JORY GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1755 KIRBY PKWY STE 330, MEMPHIS, TN 38120-4398
(901) 725-5846
(901) 726-4827
Mailing address
PO BOX 171306, MEMPHIS, TN 38187-1306
(800) 809-2106
(334) 386-2037
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
135892
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02204762
—
MS
05
—
3638350
—
TN
01
—
4163655
BCBS
TN
01
—
P00421116
RR MEDICARE
TN
Enumeration date
01/29/2007
Last updated
02/14/2009
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