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Organization
DOMINION HEALTH MEDICAL ASSOC
Active
Organization
DOMINION HEALTH MEDICAL ASSOC
Active
Other names
Sentara Clarksville Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL HAZELWOOD (MANAGER (SDHG))
(434) 517-3515
Entity
Organization
Contact information
Practice address
115 COLLEGE ST, CLARKSVILLE, VA 23927
(434) 374-5344
(434) 517-3887
Mailing address
P.O. BOX 860, SOUTH BOSTON, VA 24592
(434) 517-3513
(434) 517-3887
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
0101032102
VA
Other
Enumeration date
09/25/2006
Last updated
02/11/2015
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