Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIC MACK, MD
Active Sole ProprietorFamily Medicine · EAST POINT, GA
Registration Details
- NPI Number
- 1508866948
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2005 (20.736004147623 yrs)
- Last Updated
- May 13, 2019
- License
-
031630 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1513 EAST CLEVELAND AVEBUILDING 500EAST POINT, GA, 30344Browse GA providers · Browse ZIP 30344
- Phone
- 4047521000
- Fax
- 4047521191
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in EAST POINT, GA
| Name | Credential | NPI |
|---|---|---|
| YUAN-XIANG MENG | MD | 1174523039 |
| FOLASHADE OMOLE | MD | 1841290707 |
| DR. KITTY B CARTER-WICKER | MD | 1043210974 |
| DR. GREGORY STRAYHORN | MD, PHD | 1528068194 |
| BARBARA MCMILLAN-PERSAUD | M.D | 1831186857 |
| BEVERLY D TAYLOR | MD | 1609849843 |
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.