Organization
CENTRA MEDICAL GROUP ENDOCRINOLOGY
Active
Parent organization
CENTRA MEDICAL GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA MEDICAL GROUP, LLC
Authorized official
SONYA R T DAVIS (DIRECTOR)
(434) 200-6942
Entity
Organization
Contact information
Practice address
125 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 200-4422
Mailing address
1937 THOMSON DR, LYNCHBURG, VA 24501-1008
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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