Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Specialty Services
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, SUITE 310, VIRGINIA BEACH, VA 23456-0019
(757) 507-0400
Mailing address
1950 GLENN MITCHELL DR, SUITE 310, VIRGINIA BEACH, VA 23456-0019
(757) 507-0400
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
01/02/2008
Last updated
10/05/2016
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