# CENTRA MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRA MEDICAL GROUP, LLC
- **Other names:** CMG Group Prenatal Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356120828
- **Legal business name:** CENTRA MEDICAL GROUP, LLC
- **Authorized official:** SONYA R TURNER (SENIOR DIRECTOR, PATIENT FINANCIAL)
- **Authorized official phone:** (434) 200-6942

## Contact information

- **Practice address:** 905 LAKESIDE DR STE A, LYNCHBURG, VA 24501-2601
- **Practice address phone:** (434) 385-8948
- **Practice address fax:** (434) 200-1674
- **Mailing address:** PO BOX 829829, PHILADELPHIA, PA 19182-9829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2023
- **Last updated:** 09/25/2023