# SENTARA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sentara Family Medicine Physicians, Sentara Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407272859
- **Authorized official:** MRS. CINDY A TAYLOR (MANAGER)
- **Authorized official phone:** (757) 252-2765

## Contact information

- **Practice address:** 1020 FIRST COLONIAL RD STE A, VIRGINIA BEACH, VA 23454-3002
- **Practice address phone:** (757) 395-1850
- **Practice address fax:** (757) 222-9360
- **Mailing address:** 1020 FIRST COLONIAL RD STE A, VIRGINIA BEACH, VA 23454-3002
- **Mailing address phone:** (757) 395-1850
- **Mailing address fax:** (757) 222-9360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | VA | Yes |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | NULL | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | VA | — |

## Other

- **Enumeration date:** 03/10/2014
- **Last updated:** 09/21/2018
