| Centra Medical Group, Llc | |
|
800 Oak St Farmville VA 23901-1199 | |
| (434) 200-2072 | |
| (434) 200-4252 |
| Full Name | Centra Medical Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 800 Oak St, Farmville, Virginia |
| Authorized Official Name and Position | Sonya R Turner (SR. DIRECTOR PFS) |
| Authorized Official Contact | 4342006942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centra Medical Group, Llc Po Box 829829 Philadelphia PA 19182-9829 Ph: () - | Centra Medical Group, Llc 800 Oak St Farmville VA 23901-1199 Ph: (434) 200-2072 |
| NPI Number | 1841037843 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841037843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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