# SENTARA MEDICAL GROUP

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

## Provider details

- **NPI number:** 1689792095
- **Authorized official:** MRS. CINDY A TAYLOR (MANAGER)
- **Authorized official phone:** (757) 252-3344

## Contact information

- **Practice address:** 20209 SENTARA WAY, SUITE 200, CARROLLTON, VA 23314-3575
- **Practice address phone:** (757) 542-2000
- **Practice address fax:** (757) 542-2001
- **Mailing address:** 20209 SENTARA WAY, SUITE 200, CARROLLTON, VA 23314-3575
- **Mailing address phone:** (757) 542-2000
- **Mailing address fax:** (757) 542-2001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 05/22/2013