Centra Medical Group, LLC

NPI #1386825040 in Lynchburg, Virginia

Provider Information

NPI Number: 1386825040
Entity Type: Organization
Organization Name: Centra Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRA MEDICAL GROUP, LLC
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Nov 21, 2007
Last Updated: Oct 16, 2014

Practice Location

Address: 1911 THOMSON DR
City: Lynchburg
State: Virginia
ZIP Code: 24501-1008
Phone: (434) 200-3901

Authorized Official

Name: LEWIS ADDISON
Title: DIRECTOR
Phone: (434) 200-5047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Albert Gordon Pavalonis, D.O.	Surgery - Vascular Surgery	Lynchburg	AI Deep Dive
DR. Lawrence F. Poletti, M.D.	Surgery - Vascular Surgery	Lynchburg	AI Deep Dive
Jonathan Gumer	Surgery - Vascular Surgery	Lynchburg	AI Deep Dive

Organizations

Provider Name	Specialty	City
Centra Medical Group, LLC Part of Centra Medical Group, LLC	Surgery - Vascular Surgery	Lynchburg	AI Deep Dive
Centra Health Professional Services, LLC Part of Centra Health Professional Services, LLC	Surgery - Vascular Surgery	Lynchburg	AI Deep Dive

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