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Organization

DOMINION HEALTH MEDICAL ASSOC

Active
Other names
Sentara Halifax Anesthesiolog
Organization subpart
No

Provider details

NPI number
Authorized official
CECIL HAZELWOOD (MANAGER SDHG)
(434) 517-3515
Entity
Organization

Contact information

Practice address
2204 WILBORN AVE, SOUTH BOSTON, VA 24592
(434) 517-3999
(434) 517-3887
Mailing address
P.O. BOX 860, SOUTH BOSTON, VA 24592
(434) 517-3513
(434) 517-3887

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
08/02/2011
Last updated
02/10/2015
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