Organization
GASTON ANESTHESIA ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY M. WHITE (OFFICE MANAGER)
(704) 864-8772
Entity
Organization
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
Mailing address
PO BOX 12845, GASTONIA, NC 28052-0017
(704) 864-8772
(704) 866-7853
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000231
—
NC
05
—
8901626
—
NC
01
—
CL3976
MEDICARE OTHER IDENTIFIERS
NC
Enumeration date
05/26/2006
Last updated
09/22/2014
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