Individual
DR. DOMINIC CAMACHO CRUZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 W PEACHTREE ST NW, APT 1212, ATLANTA, GA 30308-1167
(404) 872-5058
Mailing address
855 WEST PEACHTREE ST NW, APT 1212, ATLANTA, GA 30308-1171
(404) 872-5058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
057594
GA
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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