Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Neurosurgery Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-2765
Entity
Organization
Contact information
Practice address
1950 GLENN MITCHELL DR, STE 200, VIRGINIA BEACH, VA 23456-0019
(757) 507-0600
(757) 689-3785
Mailing address
1950 GLENN MITCHELL DR, STE 200, VIRGINIA BEACH, VA 23456-0019
(757) 507-0600
(757) 689-3785
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
03/24/2011
Last updated
03/29/2018
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