Individual
DR. DAVID DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1021 SILVER BLUFF RD, AIKEN, SC 29803
(806) 648-0587
(803) 648-9846
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(803) 648-0587
(806) 648-9846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1246241
SC
Other
Enumeration date
08/07/2006
Last updated
07/12/2018
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