Centra Medical Group, LLC

NPI #1013198779 in Lynchburg, Virginia

Provider Information

NPI Number: 1013198779
Entity Type: Organization
Organization Name: Centra Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRA MEDICAL GROUP, LLC
Primary Specialty: Colon & Rectal Surgery
Enumeration Date: Nov 21, 2007
Last Updated: Oct 16, 2014

Practice Location

Address: 1906 THOMSON DR
City: Lynchburg
State: Virginia
ZIP Code: 24501-1009
Phone: (434) 947-3933

Authorized Official

Name: LEWIS ADDISON
Title: DIRECTOR
Phone: (434) 200-5047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Colon & Rectal Surgery	208C00000X	Primary

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Organizations

Provider Name	Specialty	City
Centra Health Professional Services, LLC Part of Centra Health Professional Services, LLC	Colon & Rectal Surgery	Lynchburg	AI Deep Dive

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