Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominion Health Medical Assoc

Organization Emergency Care Clinic/Center · NPI 1134407570

Dominion Health Medical Assoc is an Emergency Care Clinic/Center in South Boston, Virginia. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

2204 Wilborn Ave
South Boston, VA 24592
Phone: (434) 517-3529
Fax: (434) 517-3887
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Care Clinic/Center (primary) Taxonomy 261QE0002X

Record details

NPI number1134407570
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cecil Hazelwood — Manager Dhma · (434) 517-3515
Other names Sentara Halifax Emergency Physicial
NPI enumeratedAugust 3, 2011
Last updated in NPPESFebruary 10, 2015
Mailing addressP.O. Box 860, South Boston, VA 24592