# CENTRA MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRA MEDICAL GROUP, LLC
- **Other names:** CMG Endocrinology Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376314153
- **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:** 2015 TATE SPRINGS RD, LYNCHBURG, VA 24501-1100
- **Practice address phone:** (434) 200-4422
- **Practice address fax:** (434) 845-3032
- **Mailing address:** PO BOX 829829, PHILADELPHIA, PA 19182-9829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2024
- **Last updated:** 01/11/2024