Dominion Health Medical Assoc
NPI #1407051873 in South Boston, Virginia
Provider Information
- NPI Number
- 1407051873
- Entity Type
- Organization
- Organization Name
- Dominion Health Medical Assoc
- Primary Specialty
- Legal Medicine
- Enumeration Date
- Jun 18, 2007
- Last Updated
- Feb 10, 2015
Practice Location
- Address
- 101 AUBREY'S LOOP RD
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592
- Phone
- (434) 517-3788
Authorized Official
- Name
- CECIL HAZELWOOD
- Title
- MANAGER (SDHG)
- Phone
- (434) 517-3515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Legal Medicine |
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