# SENTARA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sentara Occupational Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336627207
- **Authorized official:** CINDY A TAYLOR (MANAGER)
- **Authorized official phone:** (757) 252-2765

## Contact information

- **Practice address:** 844 KEMPSVILLE RD STE 103, NORFOLK, VA 23502
- **Practice address phone:** (757) 261-5909
- **Practice address fax:** (757) 261-0249
- **Mailing address:** 850 KEMPSVILLE RD STE 100B, NORFOLK, VA 23502-3920
- **Mailing address phone:** (757) 261-5909
- **Mailing address fax:** (757) 261-0249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2018
- **Last updated:** 08/27/2018