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A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease |
| NPI Number | 1386825040 |
| LBN Legal business name | CENTRA MEDICAL GROUP, LLC |
| Authorized official | LEWIS ADDISON - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 11/21/2007 |
| Last updated | 10/16/2014 - About 12 years ago |
| Identifiers | n/a |
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CENTRA MEDICAL GROUP, LLC
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CENTRA MEDICAL GROUP, LLC