Centra Medical Group, LLC

NPI #1346833290 in Farmville, Virginia

Provider Information

NPI Number: 1346833290
Entity Type: Organization
Organization Name: Centra Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRA MEDICAL GROUP, LLC
Primary Specialty: Pediatrics
Enumeration Date: Feb 11, 2021
Last Updated: Feb 11, 2021

Practice Location

Address: 935 S MAIN ST
City: Farmville
State: Virginia
ZIP Code: 23901-2211
Phone: (434) 315-5377

Authorized Official

Name: SONYA R T DAVIS
Title: DIRECTOR REVENUE CYCLE
Phone: (434) 200-6942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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