Provider Demographics
NPI:1952543043
Name:GENERAL BUSINESS CONCERNS, INC.
Entity Type:Organization
Organization Name:GENERAL BUSINESS CONCERNS, INC.
Other - Org Name:CENTRA MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DRIECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:TWEEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-200-3656
Mailing Address - Street 1:1204 FENWICK DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:404 AIRPORT DR
Practice Address - Street 2:SUITE C
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-5196
Practice Address - Country:US
Practice Address - Phone:434-797-1383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENERAL BUSINESS CONCERNS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C09750Medicare PIN
DE2910Medicare PIN