Dominion Health Medical Assoc
NPI #1457756322 in South Boston, Virginia
Provider Information
- NPI Number
- 1457756322
- Entity Type
- Organization
- Organization Name
- Dominion Health Medical Assoc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Nov 4, 2014
- Last Updated
- Nov 4, 2014
Practice Location
- Address
- 101 AUBREYS LOOP
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-5054
- Phone
- (434) 517-3879
Authorized Official
- Name
- MRS. CECIL HAZELWOOD
- Title
- MANAGER
- Phone
- (434) 517-3515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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