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

Dominion Health Medical Assoc

Organization Clinic/Center · NPI 1760740625

Dominion Health Medical Assoc is a Clinic/Center in South Boston, Virginia. Licensed in Virginia. Registered with an NPI since 2012.

Licensed in
VA
In the registry since
2012

Practice location Address checks out

2206 Wilborn Ave
South Boston, VA 24592
Phone: (434) 517-8075
Fax: (434) 517-3887
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 0101251410 (VA)

Record details

NPI number1760740625
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cecil Hazelwood — Manager (Sdhg) · (434) 517-3515
Other names Sentara Halifax Neurology
NPI enumeratedApril 30, 2012
Last updated in NPPESFebruary 10, 2015
Mailing addressP.O. Box 860, South Boston, VA 24592

Other providers in South Boston