Dominion Health Medical Assoc. is an orthopedic surgery with a current address of 422 Hamilton Blvd South Boston VA 2-4592. The NPI is 1306150545, and the license number is (VA). It was issued on 07/29/2010. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on október 2, 2015.
Dominion Health Medical Assoc. can be reached by phone at 4345724074, by mail at P.O. Box 860 South Boston VA 2-4592, or by fax at 4345724712.
Cecil Hazelwood (Manager(Sdhg)) is the authorized representative of the organization and can be reached at this phone number: 4345173515.
Name: Dominion Health Medical Assoc.
Specialization: Orthopedic Surgery
Provider Entity Type: Organization
Is Organization Subpart: No
Authorized Name: Cecil Hazelwood
Authorized Title/Position: Manager(Sdhg)
Contact Number: 4345173515
Practice Location Address:
422 Hamilton Blvd
South Boston
VA 2-4592
Telephone Number: 4345724074
Fax Number: 4345724712
Mailing Address:
P.O. Box 860
South Boston
VA 2-4592
Telephone Number: 4345173513
Fax Number: 4345173887
NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.
NPI Number: 1306150545
Enumeration Date: 07/29/2010
Last Update: október 2, 2015
The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.
Primary Taxonomy Code: 207X00000X
License Number:
License State: VA
Taxonomy Group: 193200000x Multi-Specialty Group
Other Taxonomy (if any):
Providers may hold one or more medical licenses in the same state or in different states for different specialties.
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