Dominguez Diaz, Dora Patricia

Dominguez Diaz, Dora Patricia is an sole proprietor health care provider with primary practice located at 1412 Milstead Ave Ne , Conyers GA 30012-3877. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Dominguez Diaz, Dora Patricia can be contacted via phone (770) 918-3000.

Contact Information

Primary practice address
1412 Milstead Ave Ne Conyers GA 30012-3877
Phone: (770) 918-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 077725 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 077725 Georgia

Profile Details

NPI number 1447667803
LBN Legal business name Dominguez Diaz, Dora Patricia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2014
Last updated Sep 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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