Search › Georgia › 363A00000X
Judy Dominick, PA-C
NPI 1013064427 · on the registry since 2007
Practice
- Address
- 2651 Redding Rd Ne
Atlanta, GA 30319 - Phone
- (404) 841-5466
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- TX, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia