Organization
SENTARA MEDICAL GROUP
Active
Other names
Urology of Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY A TAYLOR (CREDENTIALING MANAGER)
(757) 687-1076
Entity
Organization
Contact information
Practice address
1200 FIRST COLONIAL RD, STE 100G, VIRGINIA BEACH, VA 23454-2207
(757) 481-3556
(757) 496-3865
Mailing address
PO BOX 2502, NORFOLK, VA 23501-2502
(757) 481-3556
(757) 496-3865
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/12/2007
Last updated
02/18/2009
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