# SENTARA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gloucester Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962529511
- **Authorized official:** MRS. CINDY A TAYLOR (MANAGER)
- **Authorized official phone:** (757) 687-1076

## Contact information

- **Practice address:** 5659 PARKWAY DR, SUITE 100, GLOUCESTER, VA 23061-3782
- **Practice address phone:** (804) 210-1005
- **Practice address fax:** (804) 210-1009
- **Mailing address:** PO BOX 2502, NORFOLK, VA 23501-2502
- **Mailing address phone:** (804) 210-1005
- **Mailing address fax:** (804) 210-1009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 02/02/2009