Graduated: 2021
NPI: 1205580198
Practice Locations (2)
CENTRA MEDICAL GROUP LLC
16890 FOREST RD
FOREST, VA 245514059
4342007210
CENTRA MEDICAL GROUP LLC
1901 TATE SPRINGS RD
LYNCHBURG, VA 245011109
4349473033
Source: CMS National Downloadable File, September 2026.