Organization
GASTON CARDIAC ANETHESIS AND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA A BOWERS CPC (CORP BILLING MGR)
(704) 864-8772
Entity
Organization
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2825
Mailing address
PO BOX 12752, GASTONIA, NC 28052-0014
(704) 864-8772
(704) 866-7853
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000289
—
NC
Enumeration date
02/21/2007
Last updated
02/20/2008
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