Individual
DOMINIC W MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1915 LENDEW ST, GREENSBORO, NC 27408-7033
(336) 275-3325
(336) 275-5346
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
9801388
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891275U
—
NC
01
—
9801388
NC MEDICAL LICENSE
NC
Enumeration date
06/04/2006
Last updated
08/28/2025
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