Organization
CENTRA HEALTH, INC.
Active
Parent organization
CENTRA HEALTH, INC.
Other names
Breast Imaging Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA HEALTH, INC.
Authorized official
LEWIS ADDISON (ADMINISTRATOR)
(434) 947-3777
Entity
Organization
Contact information
Practice address
1330 OAK LN, LYNCHBURG, VA 24503-2513
(434) 947-4072
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/27/2006
Last updated
03/04/2008
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