Centra Medical Group, LLC

NPI #1033556667 in Lynchburg, Virginia

Provider Information

NPI Number: 1033556667
Entity Type: Organization
Organization Name: Centra Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRA MEDICAL GROUP, LLC
Primary Specialty: Preventive Medicine - Public Health & General Preventive Medicine
Enumeration Date: May 22, 2013
Last Updated: May 22, 2013

Practice Location

Address: 1315 CHURCH ST
City: Lynchburg
State: Virginia
ZIP Code: 24504-4603
Phone: (434) 200-3656

Authorized Official

Name: LEWIS ADDISON
Title: SR VP CFO
Phone: (434) 200-4708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Preventive Medicine - Public Health & General Preventive Medicine — Public Health & General Preventive Medicine	2083P0901X	Primary

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