# SENTARA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dominion Family Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851699227
- **Authorized official:** MRS. CINDY A TAYLOR (MANAGER)
- **Authorized official phone:** (757) 252-3344

## Contact information

- **Practice address:** 1936 OPITZ BLVD STE A, WOODBRIDGE, VA 22191-3360
- **Practice address phone:** (703) 491-7744
- **Practice address fax:** (703) 492-1046
- **Mailing address:** 1936 OPITZ BLVD STE A, WOODBRIDGE, VA 22191-3360
- **Mailing address phone:** (703) 491-7744
- **Mailing address fax:** (703) 492-1046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |

## Other

- **Enumeration date:** 03/08/2011
- **Last updated:** 05/22/2013