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Centra Health Professional Services, LLC

Organization Active NPI Colon & Rectal Surgery Physician · Lynchburg, VA

NPI 1578744231 · NPPES record last updated Nov 21, 2007

Key facts

NPI
1578744231
Entity type
Organization (NPI type 2)
Primary specialty
Colon & Rectal Surgery Physician 208C00000X
Legal business name
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Practice address
1801 Thomson Dr
Lynchburg, VA 24501-1006
Phone
(434) 947-3933
NPI assigned
Nov 21, 2007
Organization subpart
Yes
Parent organization (as reported)
CENTRA HEALTH PROFESSIONAL SERVICES, LLC

Authorized official

Name
Tammy Tweedy
Title
Director
Phone
(434) 200-3656

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Centra Health Professional Services (106 organizations share this tax ID)
Part of
Centra Health Professional Services

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X
Colon & Rectal Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208C00000X Yes

Addresses

Primary practice location

1801 Thomson Dr
Lynchburg, VA 24501-1006

Mailing address

1204 Fenwick Dr
Lynchburg, VA 24502-2112

Other names

  • Surgical Associates of Central Virginia Doing business as

Other providers in Lynchburg, VA

All providers in Lynchburg, VA · Colon & Rectal Surgery Physician in Virginia

Sources for this page

Verify at the official NPI Registry.