MEDICARE: ROBINS ANESTHESIA SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	GA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician
3	207L00000X	Anesthesiology Physician	GA

General Provider Information

NPI Number	:	1154392660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBINS ANESTHESIA SERVICES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 235019
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36123-5019
Country	:	US
Telephone Number	:	334-279-1450
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 WATSON BLVD
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31093-3431
Country	:	US
Telephone Number	:	478-922-9937
Fax Number	:	478-922-1882

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DR. EDWARD D CULVERHOUSE JR.
Credential	:	MD
Telephone Number	:	478-922-9937

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	07/21/2022

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