Centra Health Professional Services LLC

NPI #1104093822 in Lynchburg, Virginia

Provider Information

NPI Number: 1104093822
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: Internal Medicine
Enumeration Date: May 12, 2008
Last Updated: May 12, 2008

Practice Location

Address: 1901 THOMSON DR
City: Lynchburg
State: Virginia
ZIP Code: 24501-1008
Phone: (434) 200-3908

Authorized Official

Name: TAMMY TWEEDY
Title: DIRECTOR
Phone: (434) 200-5047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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