Organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Active
Parent organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Authorized official
TAMMY TWEEDY (DIRECTOR)
(434) 200-3656
Entity
Organization
Contact information
Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-3542
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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