Dominion Health Medical Associates Ltd
NPI #1215411483 in South Boston, Virginia
Provider Information
- NPI Number
- 1215411483
- Entity Type
- Organization
- Organization Name
- Dominion Health Medical Associates Ltd
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 24, 2018
- Last Updated
- Sep 24, 2018
Practice Location
- Address
- 504 WILBORN AVE
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-3120
- Phone
- (434) 517-3400
Authorized Official
- Name
- CECIL HAZELWOOD
- Title
- MANAGER/DHG
- Phone
- (434) 517-3515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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