Organization · Type 2 NPI

Centra Medical Group, LLC

Pulmonary Disease Physician · Gretna, VA

NPI number 1689268765 Active

Practice location

291 Mcbride Ln
Gretna, VA 24557-2773

Fax (434) 200-1657

Specialties and licenses

Taxonomy	Code	License
Pulmonary Disease Physician Primary	207RP1001X	None listed

Pulmonary Disease Physician: 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.

6 other providers at this address

NPI record

NPI: 1689268765
Entity type: Organization (Type 2)
Issued: Mar 1, 2021
Last updated: Mar 1, 2021
Status: Active
Subpart: Yes of Centra Medical Group, LLC

Other names

CMG Gretna Pulmonology Center · doing business as

Authorized official

Sonya R T Davis
Director, Revenue Cycle
(434) 200-6942

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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 1689268765

Centra Medical Group, LLC's National Provider Identifier is 1689268765, issued on Mar 1, 2021. The primary taxonomy on file is Pulmonary Disease Physician (207RP1001X), and the practice location is in Gretna, VA. The record was last updated on Mar 1, 2021.