Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Family & Internal Medicine Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
816 INDUSTRIAL AVE, STE 100, CHESAPEAKE, VA 23324-2615
(757) 233-9055
(757) 228-5575
Mailing address
816 INDUSTRIAL AVE, STE 100, CHESAPEAKE, VA 23324-2615
(757) 233-9055
(757) 228-5575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA
207R00000X
Internal Medicine Physician
—
VA
332B00000X
Durable Medical Equipment & Medical Supplies
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
12/29/2014
Last updated
12/29/2014
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