Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Neurology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS PRINCE (MANAGER)
(757) 252-2760
Entity
Organization
Contact information
Practice address
4000 COLISEUM DR STE 200A, HAMPTON, VA 23666-5975
(757) 736-1520
(757) 756-5116
Mailing address
4000 COLISEUM DR STE 200A, HAMPTON, VA 23666-5975
(757) 507-0600
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0203
MEDICARE GROUP NUMBER
VA
Enumeration date
10/08/2009
Last updated
04/23/2020
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