# SMG ANESTHESIA SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518205004
- **Authorized official:** AMANDA BEARDEN (REGIONAL DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (757) 660-6504

## Contact information

- **Practice address:** 2025 GLENN MITCHELL DR, VIRGINIA BEACH, VA 23456-0178
- **Practice address phone:** (757) 507-1000
- **Mailing address:** PO BOX 79763, BALTIMORE, MD 21279-0763
- **Mailing address phone:** (844) 334-9458
- **Mailing address fax:** (262) 439-7680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2013
- **Last updated:** 12/01/2022