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General NPI Number Information
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NPI Number | 1891611257
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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 | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 1155 SIMONS RUN
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City | LYNCHBURG
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State | VA
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Zip | 24502-8911
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Country | US
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Telephone | 434-287-5300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 749387
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City | ATLANTA
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State | GA
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Zip | 30374-9387
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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 PFS
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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