# CENTRA MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRA MEDICAL GROUP, LLC
- **Other names:** Centra Medical Group Brookneal
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861288656
- **Legal business name:** CENTRA MEDICAL GROUP, LLC
- **Authorized official:** SONYA R TURNER (SR. DIRECTOR REVENUE CYCLE)
- **Authorized official phone:** (434) 200-6942

## Contact information

- **Practice address:** 104 CAROLINA AVE, BROOKNEAL, VA 24528-2643
- **Practice address phone:** (434) 376-2325
- **Mailing address:** PO BOX 749379, ATLANTA, GA 30374-9379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/17/2025
- **Last updated:** 04/17/2025