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Organization
CENTRA MEDICAL GROUP ENDOCRINOLOGY
Active
Organization
CENTRA MEDICAL GROUP ENDOCRINOLOGY
Active
Parent organization
CENTRA MEDICAL GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA MEDICAL GROUP, LLC
Authorized official
SONYA R T DAVIS (DIRECTOR)
(434) 200-6942
Entity
Organization
Contact information
Practice address
125 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 200-4422
Mailing address
1937 THOMSON DR, LYNCHBURG, VA 24501-1008
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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