NPI 1013198779

Centra Medical Group, LLC

Organisation Colon & Rectal Surgery Physician Lynchburg, VA

Practice location

Address: 1906 Thomson Dr, Lynchburg, VA 24501-1009
Phone: (434) 947-3933
Mailing address: 2010 Atherholt Rd, Lynchburg, VA 24501-1106

Authorised official

Name: Lewis Addison
Title: Director
Phone: (434) 200-5047

Registered specialties (2)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X

Other Colon & Rectal Surgery providers in Virginia →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Virginia →

Registry record

NPI: 1013198779
Entity type: Organization
NPI issued: 21 Nov 2007
Record last updated: 16 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.