Provider Demographics
NPI:1902790454
Name:GATEWOOD, ERICA (PHLEBOTOMIST/ AEMT)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:GATEWOOD
Suffix:
Gender:F
Credentials:PHLEBOTOMIST/ AEMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 WALKER ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-2545
Mailing Address - Country:US
Mailing Address - Phone:706-841-3147
Mailing Address - Fax:
Practice Address - Street 1:262 WALKER ST UNIT A
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2545
Practice Address - Country:US
Practice Address - Phone:706-841-3147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyGroup - Single Specialty