Southern Dominion Health System | |
8631 Namozine Rd Amelia Court House VA 23002-3410 | |
(804) 561-6263 | |
Not Available |
Full Name | Southern Dominion Health System |
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Speciality | Clinic/center |
Location | 8631 Namozine Rd, Amelia Court House, Virginia |
Authorized Official Name and Position | Mary R Turner (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4346962165 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southern Dominion Health System 8631 Namozine Rd Amelia Court House VA 23002-3410 Ph: (804) 561-6263 | Southern Dominion Health System 8631 Namozine Rd Amelia Court House VA 23002-3410 Ph: (804) 561-6263 |
NPI Number | 1104067701 |
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Provider Enumeration Date | 03/12/2009 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1104067701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 0 (Virginia) | Primary |
Amelia Healthcare Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8920 Otterburn Rd, Amelia Court House, VA 23002 Phone: 804-561-5150 Fax: 804-561-6643 |