Organization · Type 2 NPI

Dominion Health Medical Assoc

Clinic/Center · South Boston, VA

NPI number 1760740625 Active

Practice location

2206 Wilborn Ave
South Boston, VA 24592

Call (434) 517-8075 Map

Fax (434) 517-3887

Mailing address

P.o. Box 860
South Boston, VA 24592

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X0101251410 (VA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

6 other providers at this address

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About NPI 1760740625

Dominion Health Medical Assoc's National Provider Identifier is 1760740625, issued on Apr 30, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in South Boston, VA. The record was last updated on Feb 10, 2015.