NPI 1407051873
Dominion Health Medical Assoc
Practice location
- Address
- 101 Aubrey's Loop Rd, South Boston, VA 24592
- Phone
- (434) 517-3788
- Fax
- (434) 517-3887
- Mailing address
- P.O. Box 860, South Boston, VA 24592
Authorised official
- Name
- Cecil Hazelwood
- Title
- Manager (sdhg)
- Phone
- (434) 517-3515
Registered specialties
Legal Medicine
Primary
Registry record
- NPI
- 1407051873
- Entity type
- Organization
- NPI issued
- 18 Jun 2007
- 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.