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Centra Health Professional Services, LLC

Family Medicine in Danville, VA. Organization (NPI-2).

NPI number1043662828
StatusActive
Last updated in NPPESJul 6, 2016

Details

NPI
1043662828
Entity type
Organization (NPI-2)
Legal business name
Centra Health Professional Services, LLC
Organization subpart
Yes
Enumeration date
Jul 6, 2016
Last updated
Jul 6, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207R00000X Internal Medicine––

Other names

  • Centra Health Medical Center-Danville (Other Name)

Practice location

414 Park Avenue
Danville, VA 24541-9998

Phone 434-791-1562

Mailing address

414 Park Avenue
Danville, VA 24541-9998

Authorized official

Joshua Larkin
Credentialing Specialist
4342005047

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