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NPI Verification

National Provider Identifier: 1790579647

Centra Medical Group, LLC

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

PO BOX 749379

ATLANTA, GA 303749379

NPI Enumeration Date

April 7, 2025

NPI Number

1790579647

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Centra Medical Group, LLC - NPI 1790579647 | Provider Verification | HormoneMap