Provider Demographics
NPI:1467418160
Name:WILLIAMSON, ROBERT JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JAMES
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1922 THOMSON DR
Mailing Address - Street 2:STE D
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1099
Mailing Address - Country:US
Mailing Address - Phone:434-845-7392
Mailing Address - Fax:434-845-1099
Practice Address - Street 1:1922 THOMSON DR
Practice Address - Street 2:STE D
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1099
Practice Address - Country:US
Practice Address - Phone:434-845-7392
Practice Address - Fax:434-845-1099
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101034041207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Not Answered207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
011728OtherANTHEM BLUE CROSS BLUE SH
011728OtherANTHEM BLUE CROSS BLUE SH
B08254Medicare UPIN