Dominion Health Medical Assoc
NPI #1134407570 in South Boston, Virginia
Provider Information
- NPI Number
- 1134407570
- Entity Type
- Organization
- Organization Name
- Dominion Health Medical Assoc
- Primary Specialty
- Clinic/Center - Emergency Care
- Enumeration Date
- Aug 3, 2011
- Last Updated
- Feb 10, 2015
Practice Location
- Address
- 2204 WILBORN AVE
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592
- Phone
- (434) 517-3529
Authorized Official
- Name
- CECIL HAZELWOOD
- Title
- MANAGER DHMA
- Phone
- (434) 517-3515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Emergency Care — Emergency Care |
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