Organization
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Active
Other names
Dinwiddie Medical Center and Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL W SEAMANS (CFO)
(434) 696-2165
Entity
Organization
Contact information
Practice address
13855 COURTHOUSE ROAD, DINWIDDIE, VA 23841
(804) 469-3731
(804) 469-5307
Mailing address
PO BOX 70, VICTORIA, VA 23974-0070
(434) 696-2165
(434) 696-1557
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
VA
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
05/04/2011
Last updated
02/03/2014
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