Individual
DR. AARON BENJAMIN DOMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5500 FRONT ST # 260, SUMMERVILLE, SC 29486-7735
(843) 376-0670
(843) 376-0669
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
29748
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297486
—
SC
01
—
P01058405
RR MEDICARE
SC
Enumeration date
02/20/2007
Last updated
03/19/2024
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