Individual
DOMINIC ANDRE JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 MIDLAND PKWY, SUMMERVILLE, SC 29485-8104
(843) 970-5810
Mailing address
295 MIDLAND PKWY, SUMMERVILLE, SC 29485-8104
(843) 970-5810
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
92804
SC
Other
Enumeration date
04/26/2024
Last updated
07/18/2025
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