Search › Georgia › 2080P0202X
Liezl Domingo, M.D
NPI 1871880849 · on the registry since 2011
Practice
- Address
- 1120 15th St
Augusta, GA 30912 - Phone
- (706) 721-8623
- Organisation at this address
- Mppg, Inc.
Ashwins, Llc
Mcg Health, Inc
Mcg Health, Inc
Augusta UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,705
Additional practice sites
- 1740 W Taylor St, Chicago, IL
Registry record
- Primary taxonomy
- 2080P0202X
2080P0202X
- Also registered as
- 390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-20
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