EDWARD B FENTON MD

CENTRA MEDICAL GROUP LLC

Dr EDWARD B FENTON MD is a male medical professional, specializing in Emergency Medicine. He graduated in 2002 from University Of Pittsburgh School Of Medicine.

Contact

CENTRA MEDICAL GROUP LLC

915 S MAIN ST
FARMVILLE
VA
239012211

Tel: 4344143978

EDWARD B FENTON MD Information

Npi 1225093685
Pac Id 9638101777
Professional Enrollment Id I20050923000391
Last Name FENTON
First Name EDWARD
Middle Name B
Suffix
Gender M
Credential MD
Medical School Name UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year 2002
Primary Specialty EMERGENCY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CENTRA MEDICAL GROUP LLC
Group Practice Pac Id 4789606088
Number Of Group Practice Members 580
Line 1 Street Address 915 S MAIN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FARMVILLE
State VA
Zip Code 239012211
Phone Number 4344143978
Hospital Affiliation Ccn 1 490088
Hospital Affiliation Lbn 1 CENTRA BEDFORD MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 490090
Hospital Affiliation Lbn 2 CENTRA SOUTHSIDE COMMUNITY HOSPITAL, INC
Hospital Affiliation Ccn 3 490021
Hospital Affiliation Lbn 3 CENTRA
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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