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NPI Code Detail

MEDICARE: SENTARA MEDICAL GROUP

MEDICARE: SENTARA MEDICAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2332B00000XDurable Medical Equipment & Medical Supplies
3207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1649397233
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENTARA MEDICAL GROUP
Provider Business Mailing Address
First Line : 984B LASKIN RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-3905
Country : US
Telephone Number : 757-395-6900
Fax Number : 757-425-7180
Provider Business Practice Location Address
First Line : 303 35TH ST
Second Line : SUITE 102
City : VIRGINIA BEACH
State : VA
Zip : 23451-2868
Country : US
Telephone Number : 757-395-6900
Fax Number : 757-425-7180
Authorized Official
Title or Position : MANAGER
Name : MRS. CINDY A TAYLOR
Credential :
Telephone Number : 757-252-3344
Provider Enumeration Date : 03/26/2007
Last Update Date : 04/23/2020

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Directions to “SENTARA MEDICAL GROUP ” Practice Location

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