Centra Health Professional Services, LLC

NPI #1659315943 in Brookneal, Virginia

Provider Information

NPI Number: 1659315943
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 16, 2006
Last Updated: Mar 4, 2008

Practice Location

Address: 104 CAROLINA AVE
City: Brookneal
State: Virginia
ZIP Code: 24528-2643
Phone: (434) 376-2325

Authorized Official

Name: TAMMY TWEEDY
Title: DIRECTOR
Phone: (434) 947-5047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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