Organization
SENTARA MEDICAL GROUP
Active
Other names
Dr. Eugenia M. Gray
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
2790 GODWIN BLVD, STE 205, SUFFOLK, VA 23434-8151
(757) 934-7753
(757) 535-1739
Mailing address
2790 GODWIN BLVD, STE 205, SUFFOLK, VA 23434-8151
(757) 934-7753
(757) 535-1739
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
12/10/2013
Last updated
12/10/2013
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