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Organization

CENTRA MEDICAL GROUP, LLC

Active
Parent organization
CENTRA MEDICAL GROUP, LLC
Other names
Centra Healthworks Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTRA MEDICAL GROUP, LLC
Authorized official
JOSHUA LARKIN (MANAGER REV CYCLE)
(434) 200-5047
Entity
Organization

Contact information

Practice address
125 NATIONWIDE DR FL 2, LYNCHBURG, VA 24502-4272
(434) 200-6933
Mailing address
125 NATIONWIDE DR FL 2, LYNCHBURG, VA 24502-4272

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
08/15/2024
Last updated
08/15/2024
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