Individual
DR. ALEXANDER NICHOLAS DOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 FOREST PKWY STE 111, FOREST PARK, GA 30297-2135
(404) 362-9935
(404) 362-9938
Mailing address
425 FOREST PARKWAY #111, FOREST PARK, GA 30297
(404) 362-9935
(404) 362-9938
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
033313
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00444881A
—
GA
Enumeration date
01/15/2007
Last updated
03/05/2009
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