Organization
CENTRA HEALTH INC
Active
Parent organization
CENTRA HEALTH INC
Other names
Tate Springs Mammography Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA HEALTH INC
Authorized official
LEWIS ADDISON (ADMINISTRATOR)
(434) 200-4708
Entity
Organization
Contact information
Practice address
1900 TATE SPRINGS RD, LYNCHBURG, VA 24501-1122
(434) 947-7764
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/24/2006
Last updated
12/27/2010
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