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
100 KINGSLEY LN, STE 404, NORFOLK, VA 23505-4604
(757) 489-4111
(757) 440-2412
Mailing address
100 KINGSLEY LN, STE 404, NORFOLK, VA 23505-4604
(757) 489-4111
(757) 440-2412
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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