# SENTARA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sentara Endocrinology Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275817058
- **Authorized official:** MRS. CINDY A TAYLOR (MANAGER)
- **Authorized official phone:** (757) 252-3344

## Contact information

- **Practice address:** 5800 MAPLEDALE PLZ, WOODBRIDGE, VA 22193-4535
- **Practice address phone:** (703) 670-0067
- **Practice address fax:** (703) 670-0301
- **Mailing address:** 5800 MAPLEDALE PLZ, WOODBRIDGE, VA 22193-4535
- **Mailing address phone:** (703) 670-0067
- **Mailing address fax:** (703) 670-0301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2011
- **Last updated:** 09/29/2011