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Organization
CENTRA MEDICAL GROUP, LLC
Active
Organization
CENTRA MEDICAL GROUP, LLC
Active
Other names
CMG Locums
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LARKIN (CREDENTIALING COORDINATOR)
(434) 200-5047
Entity
Organization
Contact information
Practice address
2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106
(434) 947-3000
Mailing address
2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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