OrganizationActive
Dominion Health Medical Assoc.
NPI 1386737682 · Legal Medicine · South Boston, VA
Provider details
- NPI number
- 1386737682
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Cecil Hazelwood, Manager Sdhg(434) 517-3590
- License
- 0101032102 (VA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15210 L. P. Bailey Memorial Hwy
South Boston, VA 24592
Phone: (434) 349-3113
Fax: (434) 517-3887
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 860
South Boston, VA 24592
Other names (DBA / former)
- Doing business as
- Sentara Volens Family Medicine
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2015-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.