Organization
DOMINION HEALTH MEDICAL ASSOC
Active
Other names
Sentara Cardiology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL HAZELWOOD (DIRECTOR)
(434) 517-3515
Entity
Organization
Contact information
Practice address
2204 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
(434) 517-3250
(434) 514-3934
Mailing address
2204 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
(434) 517-3250
(434) 514-3934
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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