Healthcare Provider Details

I. General information

NPI: 1750857421
Provider Name (Legal Business Name): G. ANESTHESIA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2018
Last Update Date: 10/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VASCULAR CARE OF NEW BERN 970 NEWMAN ROAD
NEW BERN NC
28562-5200
US

IV. Provider business mailing address

116 SURSEE COURT
NEW BERN NC
28562-7071
US

V. Phone/Fax

Practice location:
  • Phone: 252-635-0138
  • Fax: 252-635-0007
Mailing address:
  • Phone: 252-288-1256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MS. TERESA M. GARZA
Title or Position: CO-OWNER
Credential: CRNA
Phone: 252-288-1256