Individual
DR. DOMINIQUE J. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5900 HILLANDALE DR STE 325, LITHONIA, GA 30058-3892
(678) 418-6990
(678) 418-6986
Mailing address
5900 HILLANDALE DR STE 325, LITHONIA, GA 30058-3892
(678) 418-6990
(678) 418-6986
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042439
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000740737I
—
GA
Enumeration date
09/12/2005
Last updated
07/13/2021
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