| Sentara Medical Group | |
|
816 Industrial Ave Ste 100 Chesapeake VA 23324-2615 | |
| (757) 233-9055 | |
| (757) 228-5575 |
| Full Name | Sentara Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 816 Industrial Ave, Chesapeake, Virginia |
| Authorized Official Name and Position | Cindy A Taylor (MANAGER) |
| Authorized Official Contact | 7572523344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sentara Medical Group 816 Industrial Ave Ste 100 Chesapeake VA 23324-2615 Ph: (757) 233-9055 | Sentara Medical Group 816 Industrial Ave Ste 100 Chesapeake VA 23324-2615 Ph: (757) 233-9055 |
| NPI Number | 1396133344 |
|---|---|
| Provider Enumeration Date | 12/29/2014 |
| Last Update Date | 12/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396133344 | NPI | - | NPPES |
| C02033 | Other | VA | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Virginia) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (Virginia) | Secondary |
| 207Q00000X | Family Medicine | (Virginia) | Primary |
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