OrganizationActive
Centra Medical Group, LLC
NPI 1689268765 · Pulmonary Disease Physician · Gretna, VA
Provider details
- NPI number
- 1689268765
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Centra Medical Group, LLC
- Organization subpart
- Yes
- Authorized official
- Sonya Davis, Director, Revenue Cycle(434) 200-6942
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
291 Mcbride Ln
Gretna, VA 24557-2773
Phone: (434) 200-4030
Fax: (434) 200-1657
Approximate (ZIP-level) locationGet directions
Mailing address
291 Mcbride Ln
Gretna, VA 24557-2773
Other names (DBA / former)
- Doing business as
- Cmg Gretna Pulmonology Center
Registry dates
- Enumerated
- 2021-03-01
- Last updated
- 2021-03-01
- Certified
- 2021-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.