Centra Medical Group, LLC

NPI #1184045254 in Bedford, Virginia

Provider Information

NPI Number: 1184045254
Entity Type: Organization
Organization Name: Centra Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRA MEDICAL GROUP, LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 17, 2013
Last Updated: Jan 30, 2014

Practice Location

Address: 171 W MAIN ST
City: Bedford
State: Virginia
ZIP Code: 24523-1950
Phone: (540) 586-7273

Authorized Official

Name: LEWIS ADDISON
Title: SR VP, CFO
Phone: (434) 200-5047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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