Individual
GARY L AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
321 MULBERRY ST SW, LENOIR, NC 28645-5720
(828) 757-5100
(828) 757-6193
Mailing address
321 MULBERRY ST SW, LENOIR, NC 28645-5720
(828) 757-5100
(828) 757-6193
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
093088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050143
—
NC
Enumeration date
07/01/2008
Last updated
07/01/2008
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