Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HENRY CLAYTON DORMINEY JR., M.D.
Active Sole ProprietorSpecialist · TIFTON, GA
Registration Details
- NPI Number
- 1689655904
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2005 (20.454159945266 yrs)
- Last Updated
- Jun 24, 2013
- License
-
023352 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
820 LOVE AVESUITE ATIFTON, GA, 317944071Browse GA providers · Browse ZIP 31794
- Phone
- 2293823720
- Fax
- 2293823722
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in TIFTON, GA
| Name | Credential | NPI |
|---|---|---|
| J SCOTT BRICKMAN | M.D. | 1306849831 |
| JOHN F MCCOY | M.D. | 1346244613 |
| SARA C SMITH | M.D. | 1386608818 |
| MS. TINA MARIE SNOW | LMT | 1477810018 |
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.