Dominion Health Medical Assoc
Dominion Health Medical Assoc provides Emergency Care Clinic/Center services in South Boston, Virginia. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
2204 Wilborn AveSouth Boston, VA 24592 Not confirmed with CMS for 11 years — call before visiting
Phone: (434) 517-3529
Fax: (434) 517-3887
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Care Clinic/Center (primary) | Taxonomy 261QE0002X |
|---|
Record details
| NPI number | 1134407570 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cecil Hazelwood — Manager Dhma · (434) 517-3515 |
| Other names | Sentara Halifax Emergency Physicial |
| NPI enumerated | August 3, 2011 |
| Last updated in NPPES | February 10, 2015 |
| Mailing address | P.O. Box 860, South Boston, VA 24592 |