Organization
AV ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN C CAMPBELL M.D. (SOLE MBR)
(757) 229-4000
Entity
Organization
Contact information
Practice address
5215 MONTICELLO AVE, WILLIAMSBURG, VA 23188-8232
(757) 229-4000
Mailing address
PO BOX 4860, MURRELLS INLET, SC 29576-2698
(843) 651-2624
(843) 491-4023
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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