Sentara Medical Group
Internal Medicine in Hampton, VA. Organization (NPI-2).
NPI number1255587697
StatusActive
Last updated in NPPESDec 2, 2011
Details
- NPI
- 1255587697
- Entity type
- Organization (NPI-2)
- Legal business name
- Sentara Medical Group
- Organization subpart
- No
- Enumeration date
- Aug 18, 2008
- Last updated
- Dec 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Sentara Internal Medicine Physicians (Doing Business As)
Practice location
4001 Coliseum DrSte. 310
Hampton, VA 23666-6257
Phone 757-723-9380
Mailing address
4001 Coliseum DrSte. 310
Hampton, VA 23666-6257
Phone 757-723-9380
Authorized official
Cindy A Taylor
Manager
7572523344
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