Healthcare Provider Details

I. General information

NPI: 1912909284
Provider Name (Legal Business Name): WILLIAMSBURG ANESTHESIA ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 MONTICELLO AVE
WILLIAMSBURG VA
23185-2833
US

IV. Provider business mailing address

PO BOX 3543
WILLIAMSBURG VA
23187-3543
US

V. Phone/Fax

Practice location:
  • Phone: 757-345-4135
  • Fax:
Mailing address:
  • Phone: 757-259-6622
  • Fax: 757-259-6597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateVA

VIII. Authorized Official

Name: DR. ELIZABETH FOXX
Title or Position: AUTHORIZED REPRESENTATIVE
Credential: M.D.
Phone: 757-259-6622