Individual
GINGER GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
975 E. THIRD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7806
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN134570
GA
163W00000X
Registered Nurse
RN146750
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN12890
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912932
—
AL
05
—
308968198A
—
GA
05
—
3600105
—
TN
01
—
4167291
BLUE CROSS BLUE SHIELD TN
TN
05
—
8053441
—
NC
01
—
N417117
WELLCARE (GA MEDICAID)
GA
01
—
P00472264
RAILROAD MEDICARE
TN
Enumeration date
08/14/2007
Last updated
02/16/2010
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