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

Dominion Health Medical Assoc

Organization Anesthesiology Physician · NPI 1639457179

Dominion Health Medical Assoc is an Anesthesiology Physician 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) 517-3999
Fax: (434) 517-3887
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1639457179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cecil Hazelwood — Manager Sdhg · (434) 517-3515
Other names Sentara Halifax Anesthesiolog
NPI enumeratedAugust 2, 2011
Last updated in NPPESFebruary 10, 2015
Mailing addressP.O. Box 860, South Boston, VA 24592

Other providers in South Boston