National Provider Identifier Database

LIEZL T DOMINGO, MD – NPI #1871880849
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

LIEZL T DOMINGO, MD
1120 15TH ST
AUGUSTA, GA30912-7232
Phone: 706-721-8623
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for LIEZL T DOMINGO

NPI Number 1871880849
Credentials MD
Entity Individual
Enumeration date 06/28/2011
Last updated 12/20/2021 - About 4 years ago
Sole proprietor1 No
Identifiers
  • GA License #: 079825
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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