CENTRA MEDICAL GROUP SOUTHSIDE, LLC

FARMVILLE, VA
NPI1841479565
Entity TypeOrganization
Authorized ContactWILLIAM BASS
CFO
434-392-8811
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207R00000X Internal Medicine
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
2084N0400X Psychiatry & Neurology, Neurology
208600000X Surgery
Enumeration Date2007-10-30
Last Update Date2014-08-07
Business Address
CENTRA MEDICAL GROUP SOUTHSIDE, LLC
800 OAK ST
FARMVILLE, VA 23901-1199
Phone number: 434-200-3656
Mailing Address
CENTRA MEDICAL GROUP SOUTHSIDE, LLC
2010 ATHERHOLT RD
LYNCHBURG, VA 24501-1106
Phone number: