Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY M DOMVILLE, P.A.
ActiveMRS. MARY M DOMVILLE, P.A. is a Medical Physician Assistant healthcare provider located in CARROLLTON, Georgia. NPI 1578573820 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CARROLLTON, GA
Registration Details
- NPI Number
- 1578573820
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2006 (20.005436253088 yrs)
- Last Updated
- Feb 13, 2009
- License
-
003494 (GA)
Practice Information
- Address
-
524 DIXIE STCARROLLTON, GA, 301173805Browse GA providers · Browse ZIP 30117
- Phone
- 7708322775
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in CARROLLTON, GA
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID J SCHOLL | PA | 1003811886 |
| MRS. ELIZABETH K SCHOLL | PA-C | 1972605301 |
| OLUFUNKE E FADOJU | PA | 1831250455 |
| MARY E MAXWELL | PA | 1952829178 |
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.