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CENTRA MEDICAL GROUP LLC NPI 1689268765


NPI Information

NPI: 1689268765
Provider Name: CENTRA MEDICAL GROUP, LLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
291 MCBRIDE LN
GRETNA, VA
ZIP 24557
Phone: (434) 200-4030
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CENTRA MEDICAL GROUP, LLC is a pulmonary disease internal medicine in Gretna, VA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. CENTRA MEDICAL GROUP, LLC NPI is 1689268765. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

291 MCBRIDE LN
GRETNA, VA
ZIP 24557-773
Phone: (434) 200-4030
Fax: (434) 200-1657

The provider's authorized official is Sonya R T Davis .
The authorized official title is Director, Revenue Cycle and has the following contact phone number (434) 200-6942.

The enumeration date for this NPI number is 3/1/2021 and was last updated on 3/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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