Centra Medical Group, LLC

NPI #1538584800 in Lynchburg, Virginia

Provider Information

NPI Number
1538584800
Entity Type
Organization
Organization Name
Centra Medical Group, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CENTRA MEDICAL GROUP, LLC
Primary Specialty
Plastic Surgery
Enumeration Date
Feb 24, 2014
Last Updated
Feb 24, 2014

Practice Location

Address
1330 OAK LN
Address 2
SUITE 100
ZIP Code
24503-2513
Phone
(434) 384-0610

Authorized Official

Name
LEWIS ADDISON
Title
SR VP CFO
Phone
(434) 200-5047

Specialties & Taxonomy Codes

Specialty
Plastic Surgery

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