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General NPI Number Information
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NPI Number | 1568254704
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Entity Type | Organization
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Legal Business Name | CENTRA MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 2125 LANGHORNE RD STE 503
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City | LYNCHBURG
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State | VA
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Zip | 24501-1423
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Country | US
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Telephone | 434-947-3963
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Fax | 434-947-5935
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Provider Business Mailing Address
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Address Line | PO BOX 749379
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City | ATLANTA
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State | GA
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Zip | 30374-9379
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR PATIENT FINANCIAL SERV
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Name | SONYA R TURNER
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Credential |
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Telephone | 434-200-6942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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