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Organization
SENTARA MEDICAL GROUP
Active
Organization
SENTARA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY TAYLOR (ACCOUNT MANAGER)
(757) 252-2765
Entity
Organization
Contact information
Practice address
600 GRESHAM DR, STE 8600, NORFOLK, VA 23507
(757) 388-6005
(757) 388-6006
Mailing address
600 GRESHAM DR STE 8600, NORFOLK, VA 23507-1904
(757) 388-6005
(757) 388-6006
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE
VA
Enumeration date
11/08/2017
Last updated
11/08/2017
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