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Individual

DOMINIQUE MARIE BERTOLINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
12 EXECUTIVE PARK DR NE STE 150, ATLANTA, GA 30329-2206

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
99320
GA
2084P0800X
Psychiatry Physician
A205370
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/02/2022
Last updated
04/22/2026
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