Centra Health Professional Services, LLC

NPI #1205864246 in Lynchburg, Virginia

Provider Information

NPI Number: 1205864246
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: Pediatrics - Developmental - Behavioral Pediatrics
Enumeration Date: Jun 29, 2006
Last Updated: Mar 4, 2008

Practice Location

Address: 3300 RIVERMONT AVE
City: Lynchburg
State: Virginia
ZIP Code: 24503-2030
Phone: (434) 947-5047

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Developmental - Behavioral Pediatrics — Developmental - Behavioral Pediatrics	2080P0006X	Primary

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Organizations

Provider Name	Specialty	City
Centra Medical Group, LLC Part of Centra Medical Group, LLC	Pediatrics - Developmental - Behavioral Pediatrics	Lynchburg	AI Deep Dive

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