Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Comprehensive Pain Management Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
1975 GLENN MITCHELL DR, VIRGINIA BEACH, VA 23456-0167
(757) 507-1660
(757) 510-9363
Mailing address
1975 GLENN MITCHELL DR, VIRGINIA BEACH, VA 23456-0167
(757) 507-1660
(757) 510-9363
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
01/24/2013
Last updated
01/24/2013
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