SearchGeorgia363A00000X

Dominique Mack, PA-C

NPI 1992575617 · on the registry since 2024

Practice

Address
334 Smith Ave
Thomasville, GA 31792
Phone
(229) 227-1595
Organisation at this address
Nephrology Consultants, Inc., Pc
Nephrology Medical Associates Of Georgia Llc
Archbold Physical Medicine And Rehab Of South Georgia
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-08

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