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Organization

SENTARA MEDICAL GROUP

Active
Other names
Sentara Pediatric Physicians
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization

Contact information

Practice address
5659 PARKWAY DR, SUITE 230, GLOUCESTER, VA 23061-3782
(804) 210-1055
(804) 210-1059
Mailing address
5659 PARKWAY DR, SUITE 230, GLOUCESTER, VA 23061-3782
(804) 210-1055
(804) 210-1059

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
05/11/2009
Last updated
09/20/2011
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