Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA DOMINGUEZ
Active Sole ProprietorJESSICA DOMINGUEZ is a Podiatric Surgery healthcare provider located in FOUNTAIN INN, South Carolina. NPI 1285392100 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · FOUNTAIN INN, SC
Registration Details
- NPI Number
- 1285392100
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 8, 2021 (4.682202980529 yrs)
- Last Updated
- Dec 8, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
331 WILSON BRIDGE RDFOUNTAIN INN, SC, 296449055Browse SC providers · Browse ZIP 29644
- Phone
- 8644363332
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Other Podiatric Surgery Providers in FOUNTAIN INN, SC
| Name | Credential | NPI |
|---|---|---|
| VICKI HARDEE | — | 1659975316 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.