# SENTARA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sentara Family Medicine & Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386185692
- **Authorized official:** MRS. CINDY A TAYLOR (MANAGER)
- **Authorized official phone:** (757) 252-2765

## Contact information

- **Practice address:** 1933 EDWIN DR, SUITE 208, CHESAPEAKE, VA 23322-6531
- **Practice address phone:** (757) 252-5820
- **Practice address fax:** (757) 963-9609
- **Mailing address:** 1933 EDWIN DR, SUITE 208, CHESAPEAKE, VA 23322-6531
- **Mailing address phone:** (757) 252-5820
- **Mailing address fax:** (757) 963-9609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 03/20/2017
- **Last updated:** 03/20/2017