Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Family Medicine Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
2104 EXECUTIVE DR, HAMPTON, VA 23666-2402
(757) 736-3700
(757) 827-9978
Mailing address
2104 EXECUTIVE DR, HAMPTON, VA 23666-2402
(757) 736-3700
(757) 827-9978
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
08/18/2008
Last updated
01/23/2015
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