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NPI Code Detail

MEDICARE: DR. JAMES L GATES M. D.

MEDICARE:  DR. JAMES L GATES  M. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician016830LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184603052
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES L GATES M. D.
Provider Business Mailing Address
First Line : 3311 PRESCOTT RD
Second Line : SUITE 410
City : ALEXANDRIA
State : LA
Zip : 71301-3900
Country : US
Telephone Number : 318-443-7222
Fax Number : 318-443-7641
Provider Business Practice Location Address
First Line : 230 HOSPITAL PLZ
Second Line :
City : WESTON
State : WV
Zip : 26452-8558
Country : US
Telephone Number : 304-269-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 03/17/2018

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Directions to “ DR. JAMES L GATES M. D.” Practice Location

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