Individual
MARK EDWARD DOMANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. C
Contact information
Practice address
320 E MONTGOMERY XRD, SUITE 30, SAVANNAH, GA 31406-4963
(912) 353-7611
(912) 353-7147
Mailing address
12 SHORE RD, SAVANNAH, GA 31419-9596
(912) 961-9200
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIR005411
GA
Other
Enumeration date
08/14/2006
Last updated
07/09/2007
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