MEDICARE: WILLIAMSBURG ANESTHESIA ASSOCIATES, PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician		VA

General Provider Information

NPI Number	:	1912909284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMSBURG ANESTHESIA ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	PO BOX 3543
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23187-3543
Country	:	US
Telephone Number	:	757-259-6622
Fax Number	:	757-259-6597

Provider Business Practice Location Address
First Line	:	301 MONTICELLO AVE
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-2833
Country	:	US
Telephone Number	:	757-345-4135
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED REPRESENTATIVE
Name	:	DR. ELIZABETH FOXX
Credential	:	M.D.
Telephone Number	:	757-259-6622

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/21/2022

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