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Contact Information

SENTARA MEDICAL GROUP
844 KEMPSVILLE RD
STE 104
NORFOLK, VA23502-3927
 Phone: 757-261-0041
 Fax: 757-431-7770
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SENTARA MEDICAL GROUP · (Female)

NPI # 1487056115
Status Active
Credentials
Entity Individual
Enumeration date 09/25/2014
Last updated 05/24/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA Other C02033 MEDICARE GROUP NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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