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1831646041
STEPHEN ROBERT DOMINEY
AUGUSTA, GA
NPI
1831646041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 8070)
Enumeration Date
2016-09-06
Last Update Date
2024-03-13
Business Address
Mr. STEPHEN ROBERT DOMINEY PA-C
1120 15TH ST
AUGUSTA, GA 30912-2385
Phone number: 706-721-8623
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Mailing Address
Mr. STEPHEN ROBERT DOMINEY PA-C
1120 15TH ST # OR6000
AUGUSTA, GA 30912-0004
Phone number: 706-721-3813
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