NPI 1184964124

Centra Medical Group, LLC

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Lynchburg, VA

Practice location

Address: 2410 Atherholt Rd, Lynchburg, VA 24501-2148
Phone: (434) 200-5252
Mailing address: 2010 Atherholt Rd, Lynchburg, VA 24501-1106

Authorised official

Name: Lewis Addison
Title: Sr Vp Cfo
Phone: (434) 200-3656

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Registry record

NPI: 1184964124
Entity type: Organization
NPI issued: 28 Feb 2013
Record last updated: 3 Jul 2013

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.