Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Surgery Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
3000 COLISEUM DR, SUITE 200, HAMPTON, VA 23666-5963
(757) 736-7280
(757) 224-3541
Mailing address
3000 COLISEUM DR, SUITE 200, HAMPTON, VA 23666-5963
(757) 736-7280
(757) 224-3541
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
10/02/2007
Last updated
05/16/2012
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