Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Surgery Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS PRINCE (DIRECTOR)
(757) 983-5475
Entity
Organization
Contact information
Practice address
95 DUNN DR STE 123, STAFFORD, VA 22556-1503
(703) 523-9550
(540) 699-2584
Mailing address
95 DUNN DR STE 123, STAFFORD, VA 22556-1503
(703) 523-9550
(540) 699-2584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
10/05/2011
Last updated
04/29/2022
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