Organization
SURGERY CENTER ANESTHESIA PROVIDERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL LECATES CRNA (OWNER)
(336) 420-7472
Entity
Organization
Contact information
Practice address
5215 MONTICELLO AVE, WILLIAMSBURG, VA 23188-8232
(757) 229-4000
(952) 442-3620
Mailing address
7269 TROTTERS RUN, TRINITY, NC 27370-7394
(800) 204-0099
(336) 882-2216
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/03/2011
Last updated
01/24/2023
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