Organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Active
Parent organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Other names
Seven Hills Urology, A Centra Health Affiliate
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Authorized official
TAMMY TWEEDY (REGIONAL DIRECTOR)
(434) 200-3656
Entity
Organization
Contact information
Practice address
1039 MAYBERRY CROSSING DRIVE, MONETA, VA 24121
(540) 297-7840
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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