| NPI | 1013198779 |
|---|---|
| Doing Business As | CENTRA MEDICAL GROUP SURGICAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | LEWIS ADDISON Director 434-200-5047 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2014-10-16 |