| Paul Gregg Gambrell, CRNA | |
|
706 W King St, Kings Mountain, NC 28086-2708 | |
| (980) 487-5405 | |
| Not Available |
| Full Name | Paul Gregg Gambrell |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 706 W King St, Kings Mountain, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609906239 | NPI | - | NPPES |
| 8052822 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 145612 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Atrium Health Cleveland | Shelby, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chs Anesthesia Services Group Inc | 5799007324 | 633 |
| Entity Name | The Charlotte-mecklenburg Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605 |
| Entity Name | Chs Anesthesia Services Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Gregg Gambrell, CRNA 5025 Airport Center Pkwy Bldg L, Charlotte, NC 28208-5885 Ph: (704) 512-7105 | Paul Gregg Gambrell, CRNA 706 W King St, Kings Mountain, NC 28086-2708 Ph: (980) 487-5405 |
Ms. Laura Jane Lockhart, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 706 W King St, Kings Mountain, NC 28086 Phone: 704-730-5405 Fax: 704-730-5399 | |
Ms. Bonny Rebecca Mclaughlin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 706 W King St, Kings Mountain, NC 28086 Phone: 704-739-3601 | |
Mrs. Margaret Kidder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 706 W King St, Kings Mountain, NC 28086 Phone: 704-739-3601 Fax: 704-476-7417 |