| Centra Medical Group, Llc | |
|
104 Carolina Ave Brookneal VA 24528-2643 | |
| (434) 376-2325 | |
| Not Available |
| Full Name | Centra Medical Group, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 104 Carolina Ave, Brookneal, Virginia |
| Authorized Official Name and Position | Sonya R Turner (SR. DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 4342006942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centra Medical Group, Llc Po Box 749379 Atlanta GA 30374-9379 Ph: () - | Centra Medical Group, Llc 104 Carolina Ave Brookneal VA 24528-2643 Ph: (434) 376-2325 |
| NPI Number | 1861288656 |
|---|---|
| Provider Enumeration Date | 04/17/2025 |
| Last Update Date | 04/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861288656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Centra Health Professional Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Carolina Ave, Brookneal, VA 24528 Phone: 434-376-2325 |