Individual
MR. JOSEPH DAVID DOMINICI IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 FREEDOM WAY # 222, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
4711 DURHAM RD, GROVETOWN, GA 30813-5229
(706) 210-1642
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-CRNA134362
GA
Other
Enumeration date
08/16/2006
Last updated
10/08/2025
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