| Centra Health Professional Services, Llc | |
|
1220 W Gretna Rd Gretna VA 24557-4087 | |
| (434) 656-1274 | |
| Not Available |
| Full Name | Centra Health Professional Services, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1220 W Gretna Rd, Gretna, 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 1220 W Gretna Rd Gretna VA 24557-4087 Ph: (434) 656-1274 |
| NPI Number | 1093750861 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093750861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Centra Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 291 Mcbride Ln, Gretna, VA 24557 Phone: 434-656-1274 | |
Danville Physician Practices, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 N Main St, Gretna, VA 24557 Phone: 434-656-2224 |