| Southern Dominion Health System | |
|
8631 Namozine Rd Amelia Court House VA 23002-3410 | |
| (804) 561-6263 | |
| Not Available |
| Full Name | Southern Dominion Health System |
|---|---|
| Speciality | Clinic/center |
| Location | 8631 Namozine Rd, Amelia Court House, Virginia |
| Authorized Official Name and Position | Mary R Turner (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4346962165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Dominion Health System 8631 Namozine Rd Amelia Court House VA 23002-3410 Ph: (804) 561-6263 | Southern Dominion Health System 8631 Namozine Rd Amelia Court House VA 23002-3410 Ph: (804) 561-6263 |
| NPI Number | 1104067701 |
|---|---|
| Provider Enumeration Date | 03/12/2009 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104067701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0 (Virginia) | Primary |
Southern Dominion Health System, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8920 Otterburn Rd, Amelia Court House, VA 23002 Phone: 804-561-5150 Fax: 804-561-6643 |