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Organization
SENTARA MEDICAL GROUP
Active
Organization
SENTARA MEDICAL GROUP
Active
Other names
Dominion Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
1936 OPITZ BLVD STE A, WOODBRIDGE, VA 22191-3360
(703) 491-7744
(703) 492-1046
Mailing address
1936 OPITZ BLVD STE A, WOODBRIDGE, VA 22191-3360
(703) 491-7744
(703) 492-1046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Enumeration date
03/08/2011
Last updated
05/22/2013
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