DOMINION HEALTH MEDICAL ASSOC

SOUTH BOSTON, VA
NPI1760740625
Doing Business AsSENTARA HALIFAX NEUROLOGY
Entity TypeOrganization
Authorized ContactCECIL HAZELWOOD
Manager (Sdhg)
434-517-3515
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: VA  0101251410)
Enumeration Date2012-04-30
Last Update Date2015-02-10
Business Address
DOMINION HEALTH MEDICAL ASSOC
2206 WILBORN AVE
SOUTH BOSTON, VA 24592
Phone number: 434-517-8075
Mailing Address
DOMINION HEALTH MEDICAL ASSOC
P.O. BOX 860
SOUTH BOSTON, VA 24592
Phone number: 434-517-3513