Organization
DOMINION HEALTH MEDICAL ASSOC
Active
Other names
Sentara Occupational Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL HAZELWOOD (MANAGER)
(434) 517-3515
Entity
Organization
Contact information
Practice address
101 AUBREYS LOOP, SOUTH BOSTON, VA 24592-5054
(434) 517-3879
Mailing address
PO BOX 860, SOUTH BOSTON, VA 24592-0860
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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