Individual
MARTIN P DOMMERS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 PARK ST, COLUMBIA, SC 29201-2011
(803) 462-3770
(803) 462-3771
Mailing address
PO BOX 1247, COVINGTON, GA 30015-1247
(803) 462-3770
(803) 462-3771
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12088
SC
Other
Enumeration date
02/14/2006
Last updated
07/08/2007
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