Organization
SENTARA MEDICAL GROUP
Active
Other names
The Vein Center of Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-2765
Entity
Organization
Contact information
Practice address
500 SENTARA CIR STE 100, WILLIAMSBURG, VA 23188-5727
(757) 345-4460
Mailing address
500 SENTARA CIR STE 100, WILLIAMSBURG, VA 23188-5727
(757) 345-4460
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP PTAN
VA
Enumeration date
08/03/2017
Last updated
07/21/2022
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