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Organization

CENTRA HEALTH, INC.

Active
Parent organization
CENTRA HEALTH, INC.
Other names
Timberlake Mammography Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTRA HEALTH, INC.
Authorized official
LEWIS ADDISON (ADMINISTRATOR)
(434) 947-3777
Entity
Organization

Contact information

Practice address
20293 TIMBERLAKE RD, LYNCHBURG, VA 24502-7202
(434) 200-7890
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
11/22/2006
Last updated
07/03/2008
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