Individual
DR. CHARLES WAYNE GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3360 EMMAUS RD, HARRISONBURG, VA 22801-2685
(540) 433-9399
(540) 433-1395
Mailing address
3360 EMMAUS RD, HARRISONBURG, VA 22801-2685
(540) 433-9399
(540) 433-1395
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
0101037916
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006503403
—
VA
01
—
462160
ANTHEM PROVIDER ID NUMBER
VA
Enumeration date
08/24/2005
Last updated
11/03/2011
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