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Organization
DOMINIQUE CRAIN LOCUMS LLC
Active
Organization
DOMINIQUE CRAIN LOCUMS LLC
Active
Other names
DC Locums Family Medicine LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIQUE JUANITA CRAIN MD (FOUNDER/CEO/PHYSICIAN)
(470) 491-4328
Entity
Organization
Contact information
Practice address
6660 ROSWELL RD, SANDY SPRINGS, GA 30328-3167
(470) 491-4328
Mailing address
PO BOX 851982, MOBILE, AL 36685-1982
(470) 491-4328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
10/10/2023
Last updated
01/08/2024
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