Organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Active
Parent organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Other names
Centra Thoracic Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Authorized official
LEWIS ADDISON (CFO)
(434) 200-3656
Entity
Organization
Contact information
Practice address
1701 THOMSON DR, LYNCHBURG, VA 24501-1118
(434) 200-6262
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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