DOMINION HEALTH MEDICAL ASSOC

SOUTH BOSTON, VA
NPI1134407570
Doing Business AsSENTARA HALIFAX EMERGENCY PHYSICIAL
Entity TypeOrganization
Authorized ContactCECIL HAZELWOOD
Manager Dhma
434-517-3515
Organization Subpart ?No
Primary Taxonomy261QE0002X Clinic/Center, Emergency Care
Enumeration Date2011-08-03
Last Update Date2015-02-10
Business Address
DOMINION HEALTH MEDICAL ASSOC
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Phone number: 434-517-3529
Mailing Address
DOMINION HEALTH MEDICAL ASSOC
P.O. BOX 860
SOUTH BOSTON, VA 24592
Phone number: 434-517-3513