Organization
DOMINION HEALTH MEDICAL ASSOC.
Active
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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