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Organization

SENTARA MEDICAL GROUP

Active
Other names
Urology of Virginia
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY A TAYLOR (CREDENTIALING MANAGER)
(757) 687-1076
Entity
Organization

Contact information

Practice address
3105 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5543
(757) 686-1973
(757) 686-8995
Mailing address
PO BOX 2502, NORFOLK, VA 23501-2502
(757) 686-1973
(757) 686-8995

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
11/29/2007
Last updated
02/18/2009
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