Centra Medical Group, LLC

NPI #1144880782 in Lynchburg, Virginia

Provider Information

NPI Number
1144880782
Entity Type
Organization
Organization Name
Centra Medical Group, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CENTRA MEDICAL GROUP, LLC
Primary Specialty
Surgery - Vascular Surgery
Enumeration Date
Jun 17, 2019
Last Updated
Jun 17, 2019

Practice Location

Address
2410 ATHERHOLT RD
ZIP Code
24501-2148
Phone
(434) 200-5047

Authorized Official

Name
JOSHUA LARKIN
Title
PAYER CREDENTIALING MANAGER
Phone
(434) 200-5047

Specialties & Taxonomy Codes

Specialty
Surgery - Vascular SurgeryVascular Surgery

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