Healthcare Provider Details
I. General information
NPI: 1982632980
Provider Name (Legal Business Name): JAMES RIVER ANESTHESIA ASSOC., INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11848 ROCK LANDING DR STE 303
NEWPORT NEWS VA
23606-4425
US
IV. Provider business mailing address
804 SCOTT NIXON MEMORIAL DR
AUGUSTA GA
30907-2464
US
V. Phone/Fax
- Phone: 757-591-2260
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
LAMBERSON
Title or Position: HEAD OF THE GROUP
Credential: MD
Phone: 757-591-2260