Individual
DR. DOMINIQUE DEREK MUNROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
777 HEMLOCK ST # 143, MACON, GA 31201-2102
(478) 633-5500
Mailing address
777 HEMLOCK STREET LN # 42, MACON, GA 31201-2168
(478) 633-7600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18160
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
03/24/2025
Last updated
07/03/2025
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