Search › Georgia › 111N00000X
Dominique Scott
NPI 1932283439 · on the registry since 2006
Practice
- Address
- 14200 Highway 92
Woodstock, GA 30188 - Phone
- (677) 819-7658
- Organisation at this address
- Life Clinic Of Ga Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- CA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-07
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