Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Surgery 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 280, HAMPTON, VA 23666-5906
(757) 984-9890
(757) 345-6659
Mailing address
4000 COLISEUM DR, SUITE 280, HAMPTON, VA 23666-5906
(757) 984-9890
(757) 345-6659
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
02/03/2010
Last updated
12/02/2011
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