Organization
SENTARA MEDICAL GROUP
Active
Other names
Urology of Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY A TAYLOR (CREDENTIALING MANAGER)
(757) 687-1076
Entity
Organization
Contact information
Practice address
113 GAINSBOROUGH SQ, STE 202, CHESAPEAKE, VA 23320-1713
(757) 457-5480
(757) 549-4168
Mailing address
PO BOX 2502, NORFOLK, VA 23501-2502
(757) 457-5480
(757) 549-4168
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/29/2007
Last updated
02/26/2009
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