Organization
SENTARA MEDICAL GROUP
Active
Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Infectious Disease Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY A TAYLOR (MANAGER)
(757) 252-2765
Entity
Organization
Contact information
Practice address
4000 COLISEUM DR, STE 310, HAMPTON, VA 23666-5906
(757) 827-2300
(757) 827-2121
Mailing address
4000 COLISEUM DR, STE 310, HAMPTON, VA 23666-5906
(757) 827-2300
(757) 827-2121
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
05/15/2015
Last updated
11/20/2019
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