Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Internal Medicine Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
114 N MAIN ST, STE 200, SUFFOLK, VA 23434-4564
(757) 983-8600
(757) 934-3012
Mailing address
114 N MAIN ST, STE 200, SUFFOLK, VA 23434-4564
(757) 983-8600
(757) 934-3012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
—
Enumeration date
06/28/2013
Last updated
09/24/2014
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