Centra Health Professional Services, LLC

NPI #1093750861 in Gretna, Virginia

Provider Information

NPI Number: 1093750861
Entity Type: Organization
Organization Name: Centra Health Professional Services, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 17, 2006
Last Updated: Mar 4, 2008

Practice Location

Address: 1220 W GRETNA RD
City: Gretna
State: Virginia
ZIP Code: 24557-4087
Phone: (434) 656-1274

Authorized Official

Name: TAMMY TWEEDY
Title: DIRECTOR
Phone: (434) 947-5047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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