Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Palliative Care Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
2800 GODWIN BLVD, 1ST FLOOR, SUFFOLK, VA 23434-8038
(757) 934-4821
(757) 934-4276
Mailing address
2800 GODWIN BLVD, 1ST FLOOR, SUFFOLK, VA 23434-8038
(757) 934-4821
(757) 934-4276
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
10/03/2011
Last updated
10/03/2011
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