Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Supportive Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS PRINCE (DIRECTOR)
(757) 252-2760
Entity
Organization
Contact information
Practice address
6251 E VIRGINIA BEACH BLVD STE 310, NORFOLK, VA 23502-2824
(757) 624-0300
(757) 612-8529
Mailing address
6251 E VIRGINIA BEACH BLVD STE 310, NORFOLK, VA 23502-2824
(757) 624-0300
(757) 612-8529
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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