Dominion Health Medical Assoc
NPI #1356138879 in South Boston, Virginia
Provider Information
- NPI Number
- 1356138879
- Entity Type
- Organization
- Organization Name
- Dominion Health Medical Assoc
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Apr 21, 2025
- Last Updated
- Apr 21, 2025
Practice Location
- Address
- 2204 WILBORN AVE
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-1645
- Phone
- (434) 517-3250
Authorized Official
- Name
- CECIL HAZELWOOD
- Title
- DIRECTOR
- Phone
- (434) 517-3515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Interventional Cardiology — Interventional Cardiology |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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