Individual
DR. MICHAEL F DOMBEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1975 HIGHWAY 54 W, STE 205, PEACHTREE CITY, GA 30269-4794
(678) 561-9000
(770) 487-1232
Mailing address
265 N JEFF DAVIS DR, FAYETTEVILLE, GA 30214-1668
(770) 716-8732
(770) 716-8878
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000954
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00975158A
—
GA
Enumeration date
06/09/2005
Last updated
12/10/2015
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