Organization
CENTRA MEDICAL GROUP, LLC
Active
Parent organization
CENTRA MEDICAL GROUP, LLC
Other names
Centra Weight Loss Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA MEDICAL GROUP, LLC
Authorized official
SONYA R T DAVIS (SR. DIRECTOR PATIENT FINANCIAL SERV)
(434) 200-6942
Entity
Organization
Contact information
Practice address
125 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 200-2500
Mailing address
1937 THOMSON DR, LYNCHBURG, VA 24501-1008
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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