Organization
DOMINION HEALTH MEDICAL ASSOCIATES LTD
Active
Other names
Sentara Obstetrics & Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL HAZELWOOD (MANAGER)
(434) 517-3515
Entity
Organization
Contact information
Practice address
2206 WILBORN AVE, SOUTH BOSTON, VA 24592
(434) 517-8627
(434) 517-8080
Mailing address
P.O. BOX 860, SOUTH BOSTON, VA 24592
(434) 517-3547
(434) 517-3887
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
02/27/2017
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