Centra Health Professional Services, LLC

NPI #1730315409 in Moneta, Virginia

Provider Information

NPI Number: 1730315409
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 8, 2009
Last Updated: Jun 8, 2009

Practice Location

Address: 4830 RUCKER RD
City: Moneta
State: Virginia
ZIP Code: 24121-5281
Phone: (540) 297-7181

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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