Organization
DOMINION HEALTH MEDICAL ASSOC
Active
Other names
Sentara Imaging Services
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS PRINCE (DIRECTOR)
(757) 983-5475
Entity
Organization
Contact information
Practice address
2204 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
(434) 517-3403
(434) 517-3686
Mailing address
2204 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
(434) 517-3403
(434) 517-3686
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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