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Organization
SENTARA MEDICAL GROUP
Active
Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Podiatry Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS A PRINCE (DIRECTOR)
(757) 983-5475
Entity
Organization
Contact information
Practice address
1080 FIRST COLONIAL RD STE 305, VIRGINIA BEACH, VA 23454-2406
(757) 395-1880
(757) 431-7770
Mailing address
1080 FIRST COLONIAL RD STE 305, VIRGINIA BEACH, VA 23454-2406
(757) 395-1880
(757) 431-7770
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
213E00000X
Podiatrist
Primary
—
VA
213ES0131X
Foot Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
VA
Other
Enumeration date
09/25/2014
Last updated
05/24/2021
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