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Contact Information

JUDY W DOMINICK, PA-C
2651 REDDING RD NE
ATLANTA, GA30319-2963
 Phone: 404-841-5466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JUDY W DOMINICK · (Female)

NPI Number 1013064427
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/05/2007
Last updated 06/25/2012 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 6137
  • TX License # PA02684
  • TX Other 87N556 BLUE CROSS
  • TX Other 970013327 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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