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Organization

SENTARA MEDICAL GROUP

Active
Other names
Sentara Long Term Care and Medical Associates
Organization subpart
No

Provider details

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

Contact information

Practice address
249 S NEWTOWN RD, NORFOLK, VA 23502-5718
(757) 892-5520
(757) 892-5521
Mailing address
249 S NEWTOWN RD, NORFOLK, VA 23502-5718
(757) 892-5520
(757) 892-5521

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RP1001X
Pulmonary Disease Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
05/10/2007
Last updated
12/05/2011
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