Organization
CENTRA MEDICAL GROUP, LLC
Active
Parent organization
CENTRA MEDICAL GROUP, LLC
Other names
Centra Medical Group Neurology
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA MEDICAL GROUP, LLC
Authorized official
LEWIS ADDISON (SR VP CFO)
(434) 200-5047
Entity
Organization
Contact information
Practice address
2025 TATE SPRINGS RD, LYNCHBURG, VA 24501-1116
(434) 200-2900
Mailing address
2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
03/28/2014
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