MRS. MARY DOMVILLE, P.A.
Physician Assistant - Medical
Active
Individual
NPI: 1578573820
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 003494 (GA) |
Frequently Asked Questions
NPI 1578573820 is the National Provider Identifier for MRS. MARY DOMVILLE, P.A., a Physician Assistant - Medical provider located in Carrollton, GA. This NPI was enumerated on August 9, 2006.
MRS. MARY DOMVILLE, P.A. practices at 524 DIXIE ST, Carrollton, GA 30117.
Quick Facts
- NPI
- 1578573820
- Type
- Individual
- Enumerated
- Aug 9, 2006
- Last Updated
- Feb 13, 2009
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