Individual
FERNANDO E DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 RIVERFRONT PKWY STE 100, CHATTANOOGA, TN 37402-2193
(423) 763-4549
Mailing address
900 RIVERFRONT PKWY STE 100, CHATTANOOGA, TN 37402-2101
(423) 756-7134
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
57447
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2012
Last updated
06/30/2021
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