Organization · Type 2 NPI

Centra Medical Group, LLC

Hematology & Oncology Physician · Lynchburg, VA

NPI number 1700293628 Active

Practice location

1701 Thomson Drive
Lynchburg, VA 24501

Call (434) 200-5925 Map

Mailing address

2010 Atherholt Road
Lynchburg, VA 24501

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

NPI record

NPI: 1700293628
Entity type: Organization (Type 2)
Issued: Jul 14, 2014
Last updated: Jul 14, 2014
Status: Active
Subpart: Yes of Centra Medical Group, LLC

Other names

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Centra Lynchburg Hematology and Oncology · doing business as

Authorized official

Lewis Addison
SR VP CFO
(434) 200-5047

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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 1700293628

Centra Medical Group, LLC's National Provider Identifier is 1700293628, issued on Jul 14, 2014. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Lynchburg, VA. The record was last updated on Jul 14, 2014.