Organization
SENTARA MEDICAL GROUP
Active
Organization
SENTARA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY A TAYLOR (MANAGER)
(757) 252-2765
Entity
Organization
Contact information
Practice address
3920 A BRIDGE RD, STE 305, SUFFOLK, VA 23435-1126
(757) 983-0080
(757) 983-0019
Mailing address
3920 BRIDGE RD STE 305, SUFFOLK, VA 23435-1107
(757) 983-0080
(757) 983-0019
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
02/22/2016
Last updated
04/11/2018
Update your record
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