Organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Active
Parent organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Other names
Forest Women's Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Authorized official
ARTHUR LEAVITT II (VP PRACTICE MANAGEMENT)
(434) 200-3656
Entity
Organization
Contact information
Practice address
600 BEDFORD AVE, BEDFORD, VA 24523-1966
(434) 385-8948
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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