# DOMINION HEALTH MEDICAL ASSOC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sentara Occupational Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568933182
- **Authorized official:** CECIL HAZELWOOD (MANAGER)
- **Authorized official phone:** (434) 517-3515

## Contact information

- **Practice address:** 101 AUBREYS LOOP, SOUTH BOSTON, VA 24592-5054
- **Practice address phone:** (434) 517-3879
- **Mailing address:** PO BOX 860, SOUTH BOSTON, VA 24592-0860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/07/2018
- **Last updated:** 12/07/2018