| Sentara Medical Group | |
|
114 N Main St Ste 200 Suffolk VA 23434-4564 | |
| (757) 983-8600 | |
| (757) 934-3012 |
| Full Name | Sentara Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 114 N Main St, Suffolk, 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 114 N Main St Ste 200 Suffolk VA 23434-4564 Ph: (757) 983-8600 | Sentara Medical Group 114 N Main St Ste 200 Suffolk VA 23434-4564 Ph: (757) 983-8600 |
| NPI Number | 1083054597 |
|---|---|
| Provider Enumeration Date | 06/28/2013 |
| Last Update Date | 09/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083054597 | NPI | - | NPPES |
| C02033 | Other | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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