Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Podiatry Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
5253 PROVIDENCE RD, SUITE 100, VIRGINIA BEACH, VA 23464-4201
(757) 252-4640
(757) 495-6156
Mailing address
5253 PROVIDENCE RD, SUITE 100, VIRGINIA BEACH, VA 23464-4201
(757) 252-4640
(757) 495-6156
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
VA
332B00000X
Durable Medical Equipment & Medical Supplies
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
03/02/2011
Last updated
03/11/2015
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