# CENTRA MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1841037843
- **Legal business name:** CENTRA MEDICAL GROUP, LLC
- **Authorized official:** SONYA R TURNER (SR. DIRECTOR PFS)
- **Authorized official phone:** (434) 200-6942

## Contact information

- **Practice address:** 800 OAK ST, FARMVILLE, VA 23901-1199
- **Practice address phone:** (434) 200-2072
- **Practice address fax:** (434) 200-4252
- **Mailing address:** PO BOX 829829, PHILADELPHIA, PA 19182-9829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2024
- **Last updated:** 07/09/2024