Organization
SENTARA MEDICAL GROUP
Active
Other names
Advanced Cardiac Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-8092
(757) 388-8871
Mailing address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-8092
(757) 388-8871
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
06/16/2009
Last updated
09/20/2011
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