Healthcare Provider Details
I. General information
NPI: 1770515231
Provider Name (Legal Business Name): JAMES RIVER ANESTHESIA ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 J CLYDE MORRIS BLVD
NEWPORT NEWS VA
23601-1929
US
IV. Provider business mailing address
804 SCOTT NIXON MEMORIAL DR
AUGUSTA GA
30907-2464
US
V. Phone/Fax
- Phone: 757-594-2000
- Fax:
- Phone: 800-394-4445
- Fax: 706-955-0722
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBERT
LAMBERSON
Title or Position: PRESIDENT
Credential: MD
Phone: 757-591-2260