Organization
CENTRA HEALTH PROFESSIONAL SERVICES LLC
Active
Parent organization
CENTRA HEALTH PROFESSIONAL SERVICES LLC
Other names
Lynchburg Internal Medicine A Centra Health Affiliate
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA HEALTH PROFESSIONAL SERVICES LLC
Authorized official
TAMMY TWEEDY (DIRECTOR)
(434) 200-5047
Entity
Organization
Contact information
Practice address
1901 THOMSON DR, LYNCHBURG, VA 24501-1008
(434) 200-3908
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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