JOSE LUIS DOMINGUEZ

SNELLVILLE, GA
NPI1295835775
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  36190)
Enumeration Date2006-09-24
Last Update Date2019-04-15
Business Address
JOSE LUIS DOMINGUEZ md
2121 FOUNTAIN DR STE A
SNELLVILLE, GA 30078-2900
Phone number: 770-736-3008
Mailing Address
JOSE LUIS DOMINGUEZ md
4517 LAVISTA RD
TUCKER, GA 30084-4208
Phone number: 770-723-1226
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