Organization
CENTRA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LARKIN (CREDENTIALING SPECIALIST)
(434) 200-5047
Entity
Organization
Contact information
Practice address
2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106
(434) 200-5047
Mailing address
2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106
Taxonomy
Speciality
Code
Description
License number
State
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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