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Organization
SENTARA MEDICAL GROUP
Active
Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Family Medicine Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY A TAYLOR (MANAGER)
(757) 252-2765
Entity
Organization
Contact information
Practice address
1141 N ROAD ST, STE G, ELIZABETH CITY, NC 27909-3354
(252) 337-9120
(855) 330-7320
Mailing address
1141 N ROAD ST, STE G, ELIZABETH CITY, NC 27909-3354
(252) 337-9120
(855) 330-7320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
332B00000X
Durable Medical Equipment & Medical Supplies
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232011
MEDICARE GROUP NUMBER
NC
Enumeration date
10/23/2013
Last updated
04/07/2015
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