Search › Georgia › 363A00000X
Alan Domack, PA-C
NPI 1275043135 · on the registry since 2017
Practice
- Address
- 2860 Ronald Reagan Blvd Ste 240
Cumming, GA 30041 - Phone
- (404) 355-0743
- Fax
- (855) 283-8851
- Organisation at this address
- Marietta Eye Optical
Marietta Eye Clinic, Pa
Peachtree Orthopaedic Clinic, Pc
Peachtree Orthoapedic Clinic, P.A.
Peachtree Orthopaedic Surgery Center-North, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia