| Centra Health Professional Services, Llc | |
|
104 Carolina Ave Brookneal VA 24528-2643 | |
| (434) 376-2325 | |
| Not Available |
| Full Name | Centra Health Professional Services, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 104 Carolina Ave, Brookneal, Virginia |
| Authorized Official Name and Position | Tammy Tweedy (DIRECTOR) |
| Authorized Official Contact | 4349475047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centra Health Professional Services, Llc 1204 Fenwick Dr Lynchburg VA 24502-2112 Ph: () - | Centra Health Professional Services, Llc 104 Carolina Ave Brookneal VA 24528-2643 Ph: (434) 376-2325 |
| NPI Number | 1659315943 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659315943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Centra Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Carolina Ave, Brookneal, VA 24528 Phone: 434-376-2325 |