Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Infectious Disease Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY A TAYLOR (MANAGER)
(757) 252-2765
Entity
Organization
Contact information
Practice address
301 RIVERVIEW AVE, STE 710, NORFOLK, VA 23510-1065
(757) 252-9040
(757) 252-9041
Mailing address
301 RIVERVIEW AVE, STE 710, NORFOLK, VA 23510-1065
(757) 252-9040
(757) 252-9041
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
02/06/2015
Last updated
05/13/2015
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