Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Occupational Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY A TAYLOR (MANAGER)
(757) 252-2765
Entity
Organization
Contact information
Practice address
2800 GODWIN BLVD, SUFFOLK, VA 23434-8038
(757) 934-4162
(757) 934-4246
Mailing address
2800 GODWIN BLVD, SUFFOLK, VA 23434-8038
(757) 934-4162
(757) 934-4246
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
02/22/2016
Last updated
02/22/2016
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