| NPI | 1588081236 |
|---|---|
| Doing Business As | CENTRA MEDICAL GROUP NEUROLOGY |
| Entity Type | Organization |
| Authorized Contact | LEWIS ADDISON Sr VP CFO 434-200-5047 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-28 |