Organization · Type 2 NPI

Centra Health Professional Services

Family Medicine Physician · Lynchburg, VA

NPI number 1629009147 Active

Practice location

3300 Rivermont Ave
Lynchburg, VA 24503-2030

Call (434) 947-3656 Map

Mailing address

1204 Fenwick Dr
Lynchburg, VA 24502-2112

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

167 other providers at this address

Other family medicine physician providers in Lynchburg

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NPI record

NPI: 1629009147
Entity type: Organization (Type 2)
Issued: Jul 5, 2006
Last updated: Mar 4, 2008
Status: Active
Subpart: Yes of Centra Health Professional Services, LLC

Other names

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Centra Consultative Services · doing business as

Authorized official

Tammy Tweedy
Director
(434) 947-5047

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629009147

Centra Health Professional Services's National Provider Identifier is 1629009147, issued on Jul 5, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lynchburg, VA. The record was last updated on Mar 4, 2008.