DOMINION HEALTH MEDICAL ASSOC

NPI # 

Practice Address:

2206 Wilborn Ave

South Boston, VA, 24592

Practice Phone:

434-517-8075

Practice Fax:

434-517-3887

License Number:

0101251410

License State:

VA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X

Updated by NPPES on 2/10/2015. You can view the original data set for NPI # 1760740625 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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DOMINION HEALTH MEDICAL ASSOC's

CMS CPT® coding data

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DOMINION HEALTH MEDICAL ASSOC's

CMS prescription data

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