# SENTARA MEDICAL GROUP

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

## Provider details

- **NPI number:** 1396133344
- **Authorized official:** CINDY A TAYLOR (MANAGER)
- **Authorized official phone:** (757) 252-3344

## Contact information

- **Practice address:** 816 INDUSTRIAL AVE, STE 100, CHESAPEAKE, VA 23324-2615
- **Practice address phone:** (757) 233-9055
- **Practice address fax:** (757) 228-5575
- **Mailing address:** 816 INDUSTRIAL AVE, STE 100, CHESAPEAKE, VA 23324-2615
- **Mailing address phone:** (757) 233-9055
- **Mailing address fax:** (757) 228-5575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | VA | Yes |
| 207R00000X | Internal Medicine Physician | — | VA | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | VA | — |

## Other

- **Enumeration date:** 12/29/2014
- **Last updated:** 12/29/2014