Individual
DR. DOMINIC S CARREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1163 JOHNSON FERRY RD STE 200, MARIETTA, GA 30068-2764
(770) 977-7777
(404) 355-2136
Mailing address
2001 PEACHTREE RD NE STE 705, ATLANTA, GA 30309-1476
(404) 355-0743
(855) 270-3558
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
078584
GA
207X00000X
Orthopaedic Surgery Physician
ME 0098607
FL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
ME98607
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME98607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278476900
—
FL
01
—
90768
BCBS
FL
Enumeration date
05/24/2006
Last updated
07/21/2022
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