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1740242023
MELANIA B. DOMINGO
VIDALIA, GA
NPI
1740242023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 017919)
Enumeration Date
2006-04-04
Last Update Date
2019-02-14
Business Address
Dr. MELANIA B. DOMINGO M.D.
510 MAPLE DR
VIDALIA, GA 30474-8912
Phone number: 912-537-9334
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Mailing Address
Dr. MELANIA B. DOMINGO M.D.
510 MAPLE DR
VIDALIA, GA 30474-8912
Phone number: 912-537-9334
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