Centra Medical Group Southside, Llc

NPI 1174864615 - Emergency Medicine - 207P00000X

NPI Details
NPI 1174864615
Enumeration Date 03/08/2013
Last Updated 03/08/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name WILLIAM WILLIAM
Position VP COO
Phone (434) 315-2530
Fax
Practice Location
800 OAK ST
FARMVILLE VA, 23901-1199, US
Phone (434) 315-2530
Fax
Business Location
1204 FENWICK DR
LYNCHBURG VA, 24502-2112, US
Phone
Fax
Toxanomy
Taxonomy Code 207P00000X
License State
License Number
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According to our database, Centra Medical Group Southside, Llc NPI is 1174864615, taxonomy code is 207P00000X Centra Medical Group Southside, Llc physically located at 800 Oak St, Farmville VA, 23901-1199. NPI Number 1033115704 has the healthcare provider type.

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1174864615 NPI number is provided on an as is basis without warranty of any kind. 1174864615 is maintained by the National Plan & Provider Enumeration System. The contents of Centra Medical Group Southside, Llc are for informational purposes only.