Organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Active
Parent organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Other names
Liberty University Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Authorized official
TAMMY TWEEDY (DIRECTOR)
(434) 200-3656
Entity
Organization
Contact information
Practice address
1971 UNIVERSITY BLVD, LYNCHBURG, VA 24502-2269
(434) 528-2514
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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