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Centra Health Professional Services, LLC

Organization Active NPI Infectious Disease Physician · Lynchburg, VA

NPI 1790729234 · NPPES record last updated Mar 4, 2008

Key facts

NPI
1790729234
Entity type
Organization (NPI type 2)
Primary specialty
Infectious Disease Physician 207RI0200X
Legal business name
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Practice address
2215 Landover PL
Lynchburg, VA 24501-2115
Phone
(434) 947-3945
NPI assigned
Jun 15, 2006
Organization subpart
Yes
Parent organization (as reported)
CENTRA HEALTH PROFESSIONAL SERVICES, LLC

Authorized official

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

Corporate family (same tax ID) 24

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

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
Infectious Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RI0200X Yes

Addresses

Primary practice location

2215 Landover PL
Lynchburg, VA 24501-2115

Mailing address

1204 Fenwick Dr
Lynchburg, VA 24502-2112

Other names

  • Center for Infectious Disease Doing business as

Other providers in Lynchburg, VA

All providers in Lynchburg, VA · Infectious Disease Physician in Virginia

Sources for this page

Verify at the official NPI Registry.