Centra Medical Group, LLC

NPI #1376033886 in Lynchburg, Virginia

Provider Information

NPI Number: 1376033886
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: May 10, 2018
Last Updated: May 10, 2018

Practice Location

Address: 1901 TATE SPRINGS RD
City: Lynchburg
State: Virginia
ZIP Code: 24501-1109
Phone: (434) 200-2925

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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