Mark Edward Domanski in Savannah - Sports Physician
Mark Edward Domanski - NPI 1821001934
Mark Edward Domanski is a Sports Physician in Savannah, Georgia. Mark Edward Domanski practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Mark Edward Domanski is 1821001934. The last update date is 2007-07-09.
Mark Edward Domanski's current location address is 12 Shore Rd, Savannah, Georgia. You can contact this provider via phone number 9129619200. The mailing address for Mark Edward Domanski is 12 Shore Rd, Savannah, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edward Domanski |
|---|---|
| Address | 12 Shore Rd, Savannah, Georgia |
| Phone Number | 9129619200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D. C |
NPI Number Detail
| NPI Number | 1821001934 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 12 Shore Rd |
|---|---|
| City | Savannah |
| State | Georgia (GA) |
| Post Code | 314199596 |
| Phone Number | 9129619200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | CHIR005411 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique 10-digit identification code issued to Mark Edward Domanski by the Centers for Medicare & Medicaid Services?
The Mark Edward Domanski has been assigned the NPI (National Provider Identifier) 1821001934 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Mark Edward Domanski's facilities are situated?
The facilities of Mark Edward Domanski are physically located at the following address: 12 Shore Rd, Savannah, GA, 314199596.
What is the Mark Edward Domanski's specialty and taxonomy code?
The Mark Edward Domanski's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
When did the Mark Edward Domanski receive its 1821001934?
The Mark Edward Domanski was issued its 1821001934 on 2006-08-14, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mark Edward Domanski most recently updated?
The details pertaining to the Mark Edward Domanski, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
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