Organization
SENTARA MEDICAL GROUP
Active
Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Physical Medicine & Pain Management Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
4000 COLISEUM DR, SUITE 345, HAMPTON, VA 23666-5906
(757) 827-2120
(757) 827-2121
Mailing address
4000 COLISEUM DR, SUITE 345, HAMPTON, VA 23666-5906
(757) 827-2120
(757) 827-2121
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
03/26/2007
Last updated
12/02/2011
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