Southern Dominion Health System, Inc.
NPI #1700099512 in Amelia Court House, Virginia
Provider Information
- NPI Number
- 1700099512
- Entity Type
- Organization
- Organization Name
- Southern Dominion Health System, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOUTHERN DOMINION HEALTH SYSTEM, INC.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- May 8, 2007
- Last Updated
- Feb 7, 2024
Practice Location
- Address
- 8920 OTTERBURN RD
- State
- Virginia
- ZIP Code
- 23002-4854
- Phone
- (804) 561-5150
Authorized Official
- Name
- APRIL KING
- Title
- CEO
- Phone
- (434) 696-2165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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