Search › Georgia › 1744R1102X
Kenneth Dominguez, MD
NPI 1982969937 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1229 Wildcliff Pkwy Ne
Atlanta, GA 30329 - Phone
- (404) 323-3419
Registry record
- Primary taxonomy
- 1744R1102X
1744R1102X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-05
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