NPI 1386737682

Dominion Health Medical Assoc.

Organisation Legal Medicine South Boston, VA

Practice location

Address: 15210 L. P. Bailey Memorial Hwy, South Boston, VA 24592
Phone: (434) 349-3113
Fax: (434) 517-3887
Mailing address: P.O. Box 860, South Boston, VA 24592

Authorised official

Name: Cecil Hazelwood
Title: Manager Sdhg
Phone: (434) 517-3590

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 0101032102 (VA)

Other Legal Medicine providers in Virginia →

Registry record

NPI: 1386737682
Entity type: Organization
NPI issued: 2 Oct 2006
Record last updated: 10 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.