Organization
DOMINION MEDICAL HEALTH ASSOC
Active
Other names
Sentora Southside Hematology & Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL F HAZELWOOD (MANAGER (SDHG))
(434) 517-3515
Entity
Organization
Contact information
Practice address
2232 WILBORN AVE, SUITE D, SOUTH BOSTON, VA 24592
(434) 517-3640
(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
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
03/28/2012
Last updated
02/10/2015
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