# CENTRA MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CMG Locums
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912434663
- **Authorized official:** JOSHUA LARKIN (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (434) 200-5047

## Contact information

- **Practice address:** 2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106
- **Practice address phone:** (434) 947-3000
- **Mailing address:** 2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2017
- **Last updated:** 05/12/2017