Organization
DOMINION HEALTH MEDICAL ASSOC.
Active
Other names
Sentora Southern Virginia Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL HAZELWOOD (MANAGER(SDHG))
(434) 517-3515
Entity
Organization
Contact information
Practice address
422 HAMILTON BLVD, SOUTH BOSTON, VA 24592
(434) 572-4074
(434) 572-4712
Mailing address
P.O. BOX 860, SOUTH BOSTON, VA 24592
(434) 517-3513
(434) 517-3887
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
VA
Other
Enumeration date
07/29/2010
Last updated
02/10/2015
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