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Organization
SENTARA MEDICAL GROUP
Active
Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Family & Internal Medicine Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-2765
Entity
Organization
Contact information
Practice address
1507 N ROAD ST, STE 200, ELIZABETH CITY, NC 27909-3282
(252) 337-9190
(252) 338-6503
Mailing address
1507 N ROAD ST, STE 200, ELIZABETH CITY, NC 27909-3282
(252) 337-9190
(252) 338-6503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232011
MEDICARE GROUP NUMBER
NC
Enumeration date
10/08/2009
Last updated
07/31/2015
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