| NPI | 1538584800 |
|---|---|
| Doing Business As | CENTRA MEDICAL GROUP PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | LEWIS ADDISON Sr VP CFO 434-200-5047 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |