Organization
SENTARA MEDICAL GROUP
Active
Organization
SENTARA MEDICAL GROUP
Active
Other names
THE VEIN CENTER OF VIRGINIA
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY A TAYLOR (MANAGER)
(757) 252-2765
Entity
Organization
Contact information
Practice address
1051 LOFTIS BLVD STE 210, NEWPORT NEWS, VA 23606-3069
(757) 395-1601
(757) 510-9136
Mailing address
1051 LOFTIS BLVD STE 210, NEWPORT NEWS, VA 23606-3069
(757) 395-1601
(757) 510-9136
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE
VA
Enumeration date
01/16/2018
Last updated
01/16/2018
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