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

Dominion Health Medical Assoc

Organization Cardiovascular Disease Physician · NPI 1356138879

Dominion Health Medical Assoc is a Cardiovascular Disease Physician in South Boston, Virginia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

2204 Wilborn Ave
South Boston, VA 24592-1645
Phone: (434) 517-3250
Fax: (434) 514-3934
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Interventional Cardiology Physician Taxonomy 207RI0011X

Record details

NPI number1356138879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cecil Hazelwood — Director · (434) 517-3515
Other names Sentara Cardiology Specialists
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 14, 2025
Mailing address2204 Wilborn Ave, South Boston, VA 24592-1645

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