Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Rheumatology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS PRINCE (DIRECTOR)
(757) 983-5475
Entity
Organization
Contact information
Practice address
4001 COLISEUM DR STE 310A, HAMPTON, VA 23666-6257
(757) 736-2540
(757) 251-6534
Mailing address
4001 COLISEUM DR STE 310A, HAMPTON, VA 23666-6257
(757) 736-2540
(757) 251-6534
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
10/03/2014
Last updated
11/15/2021
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