Organization
CENTRA MEDICAL GROUP, LLC
Active
Other names
CMG Locums
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LARKIN (CREDENTIALING COORDINATOR)
(434) 200-5047
Entity
Organization
Contact information
Practice address
2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106
(434) 947-3000
Mailing address
2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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