Individual
MR. DOMINIC RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8000
Mailing address
28 WESTBOURNE WAY, SAVANNAH, GA 31407-3918
(912) 220-6112
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
RN291774
GA
363L00000X
Nurse Practitioner
Primary
RN291774
GA
Other
Enumeration date
07/02/2024
Last updated
03/26/2025
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