Organization
FARMVILLE ANESTHESIA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE EDWARD ANDERSON MD (PRESIDENT SOLE OWNER)
(804) 756-5130
Entity
Organization
Contact information
Practice address
800 OAK ST, FARMVILLE, VA 23901-1199
(804) 315-2712
(804) 392-5137
Mailing address
LOCKBOX 6646 PO BOX 8500, PHILADELPHIA, PA 19178-6646
(800) 919-1190
(706) 737-2272
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
VA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK4057
RAILROAD MEDICARE
VA
Enumeration date
06/20/2006
Last updated
07/21/2022
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