Individual
DOMINIQUE JACQUELINE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3720 HOLCOMB BRIDGE RD, PEACHTREE CORNERS, GA 30092-4795
(770) 263-1000
Mailing address
6829 DANFORTH WAY, STONE MOUNTAIN, GA 30087-6370
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN195908
GA
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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