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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
CINDY TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
446 CARATOKE HWY, MOYOCK, NC 27958-8672
(252) 435-1275
(855) 348-4480
Mailing address
446 CARATOKE HWY, MOYOCK, NC 27958-8672
(252) 435-1275
(855) 348-4480
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
207R00000X
Internal Medicine Physician
—
NC
332B00000X
Durable Medical Equipment & Medical Supplies
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232011
MEDICARE GROUP NUMBER
NC
Enumeration date
06/26/2014
Last updated
07/08/2014
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