DOMINIQUE JACQUELINE MCINTOSH

PEACHTREE CORNERS, GA
NPI1689198798
Former NameDOMINIQUE JACQUELINE MCINTOSH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN195908)
Enumeration Date2017-07-31
Last Update Date2017-07-31
Business Address
DOMINIQUE JACQUELINE MCINTOSH FNP
3720 HOLCOMB BRIDGE RD
PEACHTREE CORNERS, GA 30092-4795
Phone number: 770-263-1000
Mailing Address
DOMINIQUE JACQUELINE MCINTOSH FNP
6829 DANFORTH WAY
STONE MOUNTAIN, GA 30087-6370
Phone number: