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Organization

SENTARA MEDICAL GROUP

Active
Other names
Sentara Family Medicine 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 210, GLOUCESTER, VA 23061-3792
(804) 210-1025
(804) 210-1029
Mailing address
5659 PARKWAY DR, SUITE 210, GLOUCESTER, VA 23061-3792
(804) 210-1025
(804) 210-1029

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0597050076
DME
VA
Enumeration date
02/06/2008
Last updated
10/04/2011
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