Organization
SENTARA MEDICAL GROUP
Active
Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Vascular Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS PRINCE (MANAGER)
(757) 252-2760
Entity
Organization
Contact information
Practice address
3000 COLISEUM DR STE 200, HAMPTON, VA 23666-5963
(757) 262-1110
(757) 510-9116
Mailing address
3000 COLISEUM DR STE 200, HAMPTON, VA 23666-5963
(757) 262-1110
(757) 510-9116
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
11/29/2007
Last updated
04/23/2020
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