Organization
CENTRA MEDICAL GROUP, LLC
Active
Parent organization
CENTRA MEDICAL GROUP, LLC
Other names
Centra Lynchburg Hematology and Oncology
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
1701 THOMSON DRIVE, LYNCHBURG, VA 24501
(434) 200-5925
Mailing address
2010 ATHERHOLT ROAD, LYNCHBURG, VA 24501
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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