Organization
CENTRA MEDICAL GROUP, LLC
Active
Other names
Centra Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LARKIN (CREDENTIALING SPECIALIST)
(434) 200-5047
Entity
Organization
Contact information
Practice address
125 NATIONWIDE DRIVE, LYNCHBURG, VA 24502-9998
(434) 200-3908
Mailing address
125 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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