Dominion Health Medical Assoc
Cardiovascular Disease · South Boston, VA
At a glance
2204 Wilborn Ave, South Boston, VA 24592-1645
NPPES record updated Apr 21, 2025. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
2204 Wilborn AveSouth Boston, VA 24592-1645
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Cardiovascular Disease
- Taxonomy code
- 207RC0000X
- Enumeration date
- Apr 21, 2025
- Record updated
- Apr 21, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Cardiovascular Disease
207RC0000X · Primary
Specialty details in registry
207RI0011X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2204 Wilborn AveSouth Boston, VA 24592-1645
- Phone
- (434) 517-3250
- Fax
- (434) 514-3934
Mailing address
2204 WILBORN AVESOUTH BOSTON, VA 245921645
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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