Centra Medical Group, LLC

NPI #1932685526 in Lynchburg, Virginia

Provider Information

NPI Number: 1932685526
Entity Type: Organization
Organization Name: Centra Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRA MEDICAL GROUP, LLC
Primary Specialty: Anesthesiology
Enumeration Date: Jul 17, 2018
Last Updated: Jul 17, 2018

Practice Location

Address: 3300 RIVERMONT AVE
City: Lynchburg
State: Virginia
ZIP Code: 24503-2030
Phone: (434) 200-5047

Authorized Official

Name: JOSHUA LARKIN
Title: PAYER CREDENTIALING MANAGER
Phone: (434) 200-5047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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