Centra Medical Group, LLC

NPI #1730429002 in Lynchburg, Virginia

Provider Information

NPI Number: 1730429002
Entity Type: Organization
Organization Name: Centra Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRA MEDICAL GROUP, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Feb 25, 2013
Last Updated: Feb 25, 2013

Practice Location

Address: 1901 TATE SPRINGS RD
City: Lynchburg
State: Virginia
ZIP Code: 24501-1109
Phone: (434) 200-3101

Authorized Official

Name: LEWIS ADDISON
Title: SR VP CFO
Phone: (434) 200-3656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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