Organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Active
Parent organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Other names
Neonatology Developmental Clinic
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
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 947-5047
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
03/04/2008
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