Individual
MIRNOUVE DOMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2545 LAWRENCEVILLE HWY STE 200, DECATUR, GA 30033-3240
(770) 934-7876
(770) 491-8434
Mailing address
2545 LAWRENCEVILLE HWY STE 200, DECATUR, GA 30033-3240
(770) 934-7876
(770) 491-8434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
84233
GA
Other
Enumeration date
04/24/2014
Last updated
05/22/2024
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