Centra Health Professional Services, LLC

NPI #1922241108 in Forest, Virginia

Provider Information

NPI Number: 1922241108
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: Obstetrics & Gynecology
Enumeration Date: Apr 17, 2009
Last Updated: Apr 17, 2009

Practice Location

Address: 2007 GRAVES MILL RD
City: Forest
State: Virginia
ZIP Code: 24551-2656
Phone: (434) 385-8948

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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