ALAN STANLEY DOMACK

CUMMING, GA
NPI1275043135
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  9678)
Enumeration Date2017-10-05
Last Update Date2026-07-06
Business Address
ALAN STANLEY DOMACK PA-C
2860 RONALD REAGAN BLVD STE 240
CUMMING, GA 30041-6289
Phone number: 404-355-0743
Mailing Address
ALAN STANLEY DOMACK PA-C
2860 RONALD REAGAN BLVD STE 240
CUMMING, GA 30041-6289
Phone number: 404-355-0743
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