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Organization

SENTARA MEDICAL GROUP

Active
Other names
Sentara Physical Medicine & Pain Management Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization

Contact information

Practice address
816 INDEPENDENCE BLVD, SUITE 2C, VIRGINIA BEACH, VA 23455-6010
(757) 363-6900
Mailing address
816 INDEPENDENCE BLVD, SUITE 2C, VIRGINIA BEACH, VA 23455-6010
(757) 363-6900

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
03/26/2007
Last updated
12/02/2011
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