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Organization

DOMINIQUE CRAIN LOCUMS LLC

Active
Other names
DC Locums Family Medicine LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOMINIQUE JUANITA CRAIN MD (FOUNDER/CEO/PHYSICIAN)
(470) 491-4328
Entity
Organization

Contact information

Practice address
6660 ROSWELL RD, SANDY SPRINGS, GA 30328-3167
(470) 491-4328
Mailing address
PO BOX 851982, MOBILE, AL 36685-1982
(470) 491-4328

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QP2300X
Primary Care Clinic/Center
261QU0200X
Urgent Care Clinic/Center
Primary
282N00000X
General Acute Care Hospital

Other

Enumeration date
10/10/2023
Last updated
01/08/2024
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