Organization
CENTRA MEDICAL GROUP, LLC
Active
Parent organization
CENTRA MEDICAL GROUP, LLC
Other names
CMG Gretna Pulmonology Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA MEDICAL GROUP, LLC
Authorized official
SONYA R T DAVIS (DIRECTOR, REVENUE CYCLE)
(434) 200-6942
Entity
Organization
Contact information
Practice address
291 MCBRIDE LN, GRETNA, VA 24557-2773
(434) 200-4030
(434) 200-1657
Mailing address
291 MCBRIDE LN, GRETNA, VA 24557-2773
(434) 200-4030
(434) 200-1657
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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