Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dominion Health Medical Assoc

Organization Pediatrics Physician · NPI 1457756322

Dominion Health Medical Assoc provides Pediatrics Physician services in South Boston, Virginia. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

101 Aubreys Loop
South Boston, VA 24592-5054 Not confirmed with CMS for 11 years — call before visiting
Phone: (434) 517-3879
Fax: (434) 517-3989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1457756322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cecil Hazelwood — Manager · (434) 517-3515
Other names Sentara Halifax Pediatrics
NPI enumeratedNovember 4, 2014
Last updated in NPPESNovember 4, 2014
Mailing addressPo Box 860, South Boston, VA 24592-0860

Other providers in South Boston