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Organization
SENTARA MEDICAL GROUP
Active
Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara ENT and Allergy Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
1950 GLENN MITCHELL DR, SUITE 310, VIRGINIA BEACH, VA 23456
(757) 507-0340
(757) 507-0341
Mailing address
1950 GLENN MITCHELL DR, SUITE 310, VIRGINIA BEACH, VA 23456
(757) 507-0340
(757) 507-0341
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49D2014218
CLIA
VA
Enumeration date
05/09/2007
Last updated
11/29/2011
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