Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Internal Medicine Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
4124 CHESAPEAKE SQUARE BLVD., STE. 103, CHESAPEAKE, VA 23321
(757) 983-5100
(757) 673-8292
Mailing address
4124 CHESAPEAKE SQUARE BLVD., STE. 103, CHESAPEAKE, VA 23321
(757) 983-5100
(757) 673-8292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
11/06/2012
Last updated
11/06/2012
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