| Mrs Mary M Domville, PA | |
|
524 Dixie St, Carrollton, GA 30117-3805 | |
| (770) 832-2775 | |
| Not Available |
| Full Name | Mrs Mary M Domville |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 524 Dixie St, Carrollton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578573820 | NPI | - | NPPES |
| 003494 | Other | GA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 003494 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary M Domville, PA 524 Dixie St, Carrollton, GA 30117-3805 Ph: (770) 832-2775 | Mrs Mary M Domville, PA 524 Dixie St, Carrollton, GA 30117-3805 Ph: (770) 832-2775 |
Mr. David J Scholl, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 157 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-333-2220 Fax: 678-581-7180 | |
Sydney Hope Stone, Physician Assistant Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-812-9666 | |
David Allen Scruggs, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave, Suite 101, Carrollton, GA 30117 Phone: 770-834-0873 | |
Brittney Buice, Physician Assistant Medicare: Medicare Enrolled Practice Location: 212 Meadow Run, Carrollton, GA 30116 Phone: 678-615-0531 | |
Timothy Echols, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
Radha Patel, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 909 S Park St, Carrollton, GA 30117 Phone: 678-782-9994 | |
Sarah Nowicki, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 157 Clinic Ave Ste 302c, Carrollton, GA 30117 Phone: 770-834-3336 |