Centra Medical Group, LLC
NPI #1164720058 in Altavista, Virginia
Provider Information
- NPI Number
- 1164720058
- Entity Type
- Organization
- Organization Name
- Centra Medical Group, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTRA MEDICAL GROUP, LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Mar 2, 2011
- Last Updated
- Nov 14, 2012
Practice Location
Authorized Official
- Name
- LEWIS ADDISON
- Title
- SR VP, CFO
- Phone
- (434) 200-3656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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