Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Specialty Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-2765
Entity
Organization
Contact information
Practice address
400 SENTARA CIR, STE 320, WILLIAMSBURG, VA 23188-5716
(757) 345-4800
(757) 345-4801
Mailing address
400 SENTARA CIR, STE 320, WILLIAMSBURG, VA 23188-5716
(757) 345-4800
(757) 345-4801
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
06/04/2007
Last updated
04/19/2018
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