| Dominion Health Medical Associates Ltd | |
|
504 Wilborn Ave South Boston VA 24592-3120 | |
| (434) 517-3400 | |
| Not Available |
| Full Name | Dominion Health Medical Associates Ltd |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 504 Wilborn Ave, South Boston, Virginia |
| Authorized Official Name and Position | Cecil Hazelwood (MANAGER/DHG) |
| Authorized Official Contact | 4345173515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Health Medical Associates Ltd Po Box 860 South Boston VA 24592-0860 Ph: () - | Dominion Health Medical Associates Ltd 504 Wilborn Ave South Boston VA 24592-3120 Ph: (434) 517-3400 |
| NPI Number | 1215411483 |
|---|---|
| Provider Enumeration Date | 09/24/2018 |
| Last Update Date | 09/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215411483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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