Southern Dominion Health System
NPI #1104067701 in Amelia Court House, Virginia
Provider Information
- NPI Number
- 1104067701
- Entity Type
- Organization
- Organization Name
- Southern Dominion Health System
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 12, 2009
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 8631 NAMOZINE RD
- State
- Virginia
- ZIP Code
- 23002-3410
- Phone
- (804) 561-6263
Authorized Official
- Name
- MS. MARY R TURNER, CEO
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (434) 696-2165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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