Organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Active
Parent organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Other names
Centra Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Authorized official
ARTHUR LEAVITT (DIRECTOR)
(434) 200-3656
Entity
Organization
Contact information
Practice address
404 AIRPORT DR, SUITE C, DANVILLE, VA 24540-5196
(434) 797-1383
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/03/2009
Last updated
09/13/2011
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