Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Surgery Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
11803 JEFFERSON AVE, SUITE 235, NEWPORT NEWS, VA 23606-2565
(757) 594-1806
(757) 510-9081
Mailing address
11803 JEFFERSON AVE, SUITE 235, NEWPORT NEWS, VA 23606-2565
(757) 594-1806
(757) 510-9081
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
07/31/2009
Last updated
09/23/2011
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