Individual
GEORGE EDWARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 ANDERSON TRL, FARMVILLE, VA 23901-4146
(434) 603-7271
Mailing address
75 ANDERSON TRL, FARMVILLE, VA 23901-4146
(434) 603-7271
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101039368
VA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
0101039368
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101039368
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005717124
—
VA
01
—
005719356
MEDICAID
VA
Enumeration date
07/10/2006
Last updated
02/01/2016
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