# CENTRA MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CMG Buckingham
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265209803
- **Authorized official:** SONYA R TURNER (SR. DIRECTOR REV CYCLE)
- **Authorized official phone:** (434) 200-6942

## Contact information

- **Practice address:** 65 BRICKYARD DR, DILLWYN, VA 23936-3361
- **Practice address phone:** (434) 414-1021
- **Mailing address:** PO BOX 829829, PHILADELPHIA, PA 19182-9829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2023
- **Last updated:** 12/05/2023