Centra Health Professional Services, LLC

NPI #1619912441 in Altavista, Virginia

Provider Information

NPI Number: 1619912441
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: Family Medicine
Enumeration Date: Jun 17, 2006
Last Updated: Apr 25, 2012

Practice Location

Address: 1280A MAIN ST
City: Altavista
State: Virginia
ZIP Code: 24517-1458
Phone: (434) 309-1165

Authorized Official

Name: ARTHUR LEAVITT
Title: VP PHYSICIAN PRACTICE MANAGEMENT
Phone: (434) 200-3656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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