Organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Active
Parent organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Other names
Center for Infectious Disease
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Authorized official
ARTHUR LEAVITT (VP PHYSICIAN PRACTICE MANAGEMENT)
(434) 200-3656
Entity
Organization
Contact information
Practice address
4500 RIVERSIDE DR, SUITE B, DANVILLE, VA 24541-5167
(434) 792-5506
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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