Centra Health Professional Services, LLC

NPI #1114951340 in Forest, Virginia

Provider Information

NPI Number
1114951340
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 - Pulmonary Disease
Enumeration Date
Jul 11, 2006
Last Updated
Mar 4, 2008

Practice Location

Address
1084 THOMAS JEFFERSON RD
Address 2
SUITE 10
City
Forest
ZIP Code
24551-2275
Phone
(434) 455-0626

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Pulmonary DiseasePulmonary Disease

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