| NPI | 1386825040 |
|---|---|
| Doing Business As | CENTRA MEDICAL GROUP SURGICAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | LEWIS ADDISON Director 434-200-5047 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2014-10-16 |