Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS PRINCE (DIRECTOR)
(757) 252-2760
Entity
Organization
Contact information
Practice address
4439 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-3100
(757) 252-0590
Mailing address
4439 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-3100
(757) 252-0590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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