Centra Health Professional Services, LLC

NPI #1497900047 in Moneta, Virginia

Provider Information

NPI Number: 1497900047
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: Urology
Enumeration Date: Nov 24, 2008
Last Updated: Nov 24, 2008

Practice Location

Address: 1039 MAYBERRY CROSSING DRIVE
City: Moneta
State: Virginia
ZIP Code: 24121
Phone: (540) 297-7840

Authorized Official

Name: TAMMY TWEEDY
Title: REGIONAL DIRECTOR
Phone: (434) 200-3656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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