| Centra Medical Group, Llc | |
|
1901 Tate Springs Rd Lynchburg VA 24501-1109 | |
| (434) 200-5999 | |
| Not Available |
| Full Name | Centra Medical Group, Llc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 1901 Tate Springs Rd, Lynchburg, Virginia |
| Authorized Official Name and Position | Lewis Addison (SR VP CFO) |
| Authorized Official Contact | 4342005047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centra Medical Group, Llc 2010 Atherholt Rd Lynchburg VA 24501-1106 Ph: () - | Centra Medical Group, Llc 1901 Tate Springs Rd Lynchburg VA 24501-1109 Ph: (434) 200-5999 |
| NPI Number | 1043693054 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 08/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043693054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
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