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NPI 1710780960 · live from the CMS NPI Registry

Centra Medical Group, LLC

Pediatrics, Developmental - Behavioral Pediatrics in Lynchburg, VA. National Provider Identifier 1710780960, active.

NPI record

NPI1710780960 Type 2 · organization
StatusActive
Primary specialtyPediatrics, Developmental - Behavioral Pediatrics 2080P0006X
Practice location693 Leesville Rd, Lynchburg, VA 24502
Practice phone434-200-3047
EnumeratedMarch 31, 2025
Last updatedMarch 31, 2025
Authorized officialSonya Turner, Sr. Director Rev Cycle
Other namesCmg Developmental Pediatrics

Taxonomies and licenses

TaxonomyCodeLicense
Pediatrics, Developmental - Behavioral Pediatrics primary2080P0006X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.