Dominion Health Medical Assoc
NPI #1568933182 in South Boston, Virginia
Provider Information
- NPI Number
- 1568933182
- Entity Type
- Organization
- Organization Name
- Dominion Health Medical Assoc
- Primary Specialty
- Clinic/Center - Occupational Medicine
- Enumeration Date
- Dec 7, 2018
- Last Updated
- Dec 7, 2018
Practice Location
- Address
- 101 AUBREYS LOOP
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-5054
- Phone
- (434) 517-3879
Authorized Official
- Name
- CECIL HAZELWOOD
- Title
- MANAGER
- Phone
- (434) 517-3515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Occupational Medicine — Occupational Medicine |
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