Graduated: 2021
NPI: 1629659073
Practice Locations (2)
CENTRA MEDICAL GROUP LLC
1901 TATE SPRINGS RD
LYNCHBURG, VA 245011109
4349473033
EMERGENCY COVERAGE LLC
1602 SKIPWITH RD
RICHMOND, VA 232295205
8042894500
Source: CMS National Downloadable File, September 2026.