Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Infectious Disease Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-2765
Entity
Organization
Contact information
Practice address
2790 GODWIN BLVD, SUITE 225, SUFFOLK, VA 23434-8151
(757) 934-4550
Mailing address
2790 GODWIN BLVD, SUITE 225, SUFFOLK, VA 23434-8151
(757) 934-4550
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
11/06/2009
Last updated
04/04/2017
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