# SENTARA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sentara Hearing and Balance Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518117829
- **Authorized official:** MRS. CINDY A TAYLOR (MANAGER)
- **Authorized official phone:** (757) 252-2765

## Contact information

- **Practice address:** 1950 GLENN MITCHELL DR, STE. 310B, VIRGINIA BEACH, VA 23456-0019
- **Practice address phone:** (757) 507-0360
- **Practice address fax:** (757) 507-0341
- **Mailing address:** 1950 GLENN MITCHELL DR, STE. 308, VIRGINIA BEACH, VA 23456-0019
- **Mailing address phone:** (757) 507-0360
- **Mailing address fax:** (757) 507-0341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2008
- **Last updated:** 10/05/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C02033 | MEDICARE GROUP NUMBER | VA |