Individual
OMAR FERNANDO DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 MEMORIAL DRIVE, HAMILTON MEDICAL CENTER, ATTN: RESIDENCY PROGRAM, DALTON, GA 30720
(706) 272-6132
Mailing address
1200 MEMORIAL DRIVE, HAMILTON MEDICAL CENTER, ATTN: RESIDENCY PROGRAM, DALTON, GA 30720
(706) 272-6132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
96719
GA
Other
Enumeration date
04/17/2020
Last updated
08/10/2023
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