NPI 1407884448

Centra Health Professional Services, LLC

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

Practice location

Address: 2410 Atherholt Rd, Lynchburg, VA 24501-2148
Phone: (434) 528-2212
Mailing address: 1204 Fenwick Dr, Lynchburg, VA 24502-2112

Authorised official

Name: Tammy Tweedy
Title: Director
Phone: (434) 947-5047

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Registry record

NPI: 1407884448
Entity type: Organization
NPI issued: 29 Jun 2006
Record last updated: 4 Mar 2008

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.