# PENINSULA ANESTHESIA CONSULTANTS LLC

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

## Provider details

- **NPI number:** 1902899784
- **Authorized official:** DR. GEORGE TILTON HEATH MD (PARTNER)
- **Authorized official phone:** (757) 645-3216

## Contact information

- **Practice address:** 120 KINGS WAY, STE 1500, WILLIAMSBURG, VA 23185-2505
- **Practice address phone:** (757) 645-3216
- **Practice address fax:** (757) 645-3132
- **Mailing address:** PO BOX 697, TOANO, VA 23168-0697
- **Mailing address phone:** (800) 919-1190
- **Mailing address fax:** (706) 860-6484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | VA | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | VA | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | VA | — |

## Other

- **Enumeration date:** 08/26/2005
- **Last updated:** 07/21/2022