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Organization

CENTRA HEALTH PROFESSIONAL SERVICES, LLC

Active
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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
TAMMY TWEEDY (DIRECTOR)
(434) 947-5047
Entity
Organization

Contact information

Practice address
201 S MAIN ST, DANVILLE, VA 24541-2927
(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
06/11/2006
Last updated
03/04/2008
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