Organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Active
Parent organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Other names
Centra Health Forest Sleep Disorders Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Authorized official
TAMMY TWEEDY (DIRECTOR)
(434) 947-5047
Entity
Organization
Contact information
Practice address
1084 THOMAS JEFFERSON RD, SUITE 10, FOREST, VA 24551-2275
(434) 455-0626
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
07/11/2006
Last updated
03/04/2008
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