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Individual

DAVID M DOMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 863-9797
(706) 860-7686
Mailing address
PO BOX 14039, AUGUSTA, GA 30919-0039
(706) 863-9797
(706) 860-7686

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
44577
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300024692
IN
Enumeration date
05/29/2007
Last updated
12/26/2024
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