Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Neurology & Neurosurgery Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS PRINCE (DIRECTOR)
(757) 983-5475
Entity
Organization
Contact information
Practice address
301 RIVERVIEW AVE STE 202A, NORFOLK, VA 23510-1065
(757) 252-9015
(757) 388-6106
Mailing address
301 RIVERVIEW AVE STE 202A, NORFOLK, VA 23510-1065
(757) 252-9015
(757) 388-6106
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
09/23/2008
Last updated
04/13/2021
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