Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Pulmonary & Critical Care Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
400 SENTARA CIR, STE 320A, WILLIAMSBURG, VA 23188-5716
(757) 395-3975
(757) 510-9190
Mailing address
400 SENTARA CIR, STE 320A, WILLIAMSBURG, VA 23188-5716
(757) 395-3975
(757) 510-9190
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
10/08/2009
Last updated
10/18/2011
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