CENTRA MEDICAL GROUP LLC NPI 1386825040

NPI Information

CENTRA MEDICAL GROUP, LLC is a vascular surgery surgery in Lynchburg, VA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CENTRA MEDICAL GROUP, LLC NPI is 1386825040. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Centra Medical Group Surgical Specialists.

The provider's business location address is:

1911 THOMSON DR
LYNCHBURG, VA
ZIP 24501-008
Phone: (434) 200-3901

The provider's authorized official is Lewis Addison .
The authorized official title is Director and has the following contact phone number (434) 200-5047.

The enumeration date for this NPI number is 11/21/2007 and was last updated on 10/16/2014.

Taxonomy Codes

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