Organization
CENTRA HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E.W. TIBBS, JR. RN, BSN, MBA (CEO)
(434) 200-4700
Entity
Organization
Contact information
Practice address
2410 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 200-5252
Mailing address
1920 ATHERHOLT RD, LYNCHBURG, VA 24501-1104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024171009
VA
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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