| Dr Michael Glenn Domina, DO | |
|
105 W Park Dr, Kingsport, TN 37660-3805 | |
| (423) 224-3220 | |
| Not Available |
| Full Name | Dr Michael Glenn Domina |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 105 W Park Dr, Kingsport, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396130613 | NPI | - | NPPES |
| Entity Name | Samaritan Pacific Health Services Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Glenn Domina, DO 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Dr Michael Glenn Domina, DO 105 W Park Dr, Kingsport, TN 37660-3805 Ph: (423) 224-3220 |
Dr. Scott Fowler, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr, Ste 2b, Kingsport, TN 37660 Phone: 423-247-7500 Fax: 423-245-4679 | |
Judith P. Fischer, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: One Sheridan Square, Suite 105, Kingsport, TN 37660 Phone: 423-427-4201 Fax: 423-247-5470 | |
Dr. James P Beckner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Suite 3a, Kingsport, TN 37660 Phone: 423-224-3220 Fax: 423-224-3233 | |
Dr. Sheldon H Fisher, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2002 Brookside Dr, Ste 300, Kingsport, TN 37660 Phone: 423-392-6370 Fax: 423-392-6736 | |
Dr. Mark L Withrow, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr Ste 5d, Kingsport, TN 37660 Phone: 423-247-7500 Fax: 423-247-7556 | |
Dr. Dennis Charles Desimone, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2202 N John B Dennis Hwy Ste 204, Kingsport, TN 37660 Phone: 423-245-1040 | |
Dr. Robert Saunders, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Ste 3a, Kingsport, TN 37660 Phone: 423-224-3220 Fax: 423-224-3233 |