# SENTARA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sentara Family Medicine Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972759314
- **Authorized official:** MRS. CINDY A TAYLOR (MANAGER)
- **Authorized official phone:** (757) 252-3344

## Contact information

- **Practice address:** 2104 EXECUTIVE DR, HAMPTON, VA 23666-2402
- **Practice address phone:** (757) 736-3700
- **Practice address fax:** (757) 827-9978
- **Mailing address:** 2104 EXECUTIVE DR, HAMPTON, VA 23666-2402
- **Mailing address phone:** (757) 736-3700
- **Mailing address fax:** (757) 827-9978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/18/2008
- **Last updated:** 01/23/2015