Organization
SENTARA MEDICAL GROUP
Active
Other names
Advanced Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
240 MUSTANG TRL, SUITE 3, VIRGINIA BEACH, VA 23452-7516
(757) 502-7690
Mailing address
240 MUSTANG TRL, SUITE 3, VIRGINIA BEACH, VA 23452-7516
(757) 502-7690
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
05/02/2007
Last updated
09/20/2011
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