NPI | 1215689583 |
---|---|
Doing Business As | CENTRA WEIGHT LOSS SERVICES |
Entity Type | Organization |
Authorized Contact | SONYA R T DAVIS Senior Director Revenue Cycle 434-200-6942 |
Organization Subpart ? | No |
Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
Enumeration Date | 2022-01-19 |
Last Update Date | 2022-01-19 |