Sentara Medical Group

Organization Active NPI Urology Physician · Nassawadox, VA

NPI 1295917581 · NPPES record last updated Feb 18, 2009

Key facts

NPI
1295917581
Entity type
Organization (NPI type 2)
Primary specialty
Urology Physician 208800000X
Legal business name
SENTARA MEDICAL GROUP
Practice address
9536 Hospital Ave
Nassawadox, VA 23413
Phone
(757) 442-6050
Fax
(757) 442-3132
NPI assigned
Nov 29, 2007
Organization subpart
No

Authorized official

Name
Cindy A Taylor
Title
Credentialing Manager
Phone
(757) 687-1076

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208800000X Yes

Addresses

Primary practice location

9536 Hospital Ave
Nassawadox, VA 23413

Mailing address

9536 Hospital Ave
Nassawadox, VA 23413
Phone (757) 442-6050

Other names

  • Urology of Virginia Doing business as

Other providers in Nassawadox, VA

All providers in Nassawadox, VA · Urology Physician in Virginia

Sources for this page

Verify at the official NPI Registry.