CENTRA HEALTH PROFESSIONAL SERVICES LLC NPI 1700170412

NPI Information

CENTRA HEALTH PROFESSIONAL SERVICES, 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 HEALTH PROFESSIONAL SERVICES, LLC NPI is 1700170412. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Centra Vascular Surgery.

The provider's business location address is:

2410 ATHERHOLT RD
LYNCHBURG, VA
ZIP 24501-148
Phone: (434) 200-5212

The provider's authorized official is Arthur Leavitt .
The authorized official title is Vp Physician Practice Management and has the following contact phone number (434) 200-3656.

The enumeration date for this NPI number is 5/31/2011 and was last updated on 5/31/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.