Organization
CENTRA MEDICAL GROUP, LLC
Active
Other names
Centra Medical Group Addiction Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER NEAL (VP REVENUE CYCLE)
(434) 200-6905
Entity
Organization
Contact information
Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-2072
(434) 200-4252
Mailing address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-2072
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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