Dominic Mack is a Family Medicine in Atlanta, Georgia. Dominic Mack practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dominic Mack is 1508866948. The last update date is 2019-05-13.
Dominic Mack's current location address is 720 Westview Dr Sw Ste 100, Atlanta, Georgia. You can contact this provider via phone number 4047561400 and fax number 4047565274. The mailing address for Dominic Mack is 720 Westview Dr Sw Ste 100, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominic Mack |
|---|---|
| Address | 720 Westview Dr Sw Ste 100, Atlanta, Georgia |
| Phone Number | 4047561400 |
| Fax Number | 4047565274 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508866948 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2019-05-13 |
Provider Mailing Address Detail
| Address | 720 Westview Dr Sw Ste 100 |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303101458 |
| Phone Number | 4047561400 |
| Fax Number | 4047565274 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 31630 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 433892 | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dominic Mack?
The Dominic Mack has been issued the NPI (National Provider Identifier) 1508866948 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Dominic Mack is physically located?
The Dominic Mack is physically situated at the following address: 720 Westview Dr Sw Ste 100, Atlanta, GA, 303101458.
What is Dominic Mack's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dominic Mack's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Dominic Mack receive the assignment of its 1508866948 from the Centers for Medicare & Medicaid Services?
The Dominic Mack was issued its 1508866948 by the Centers for Medicare & Medicaid Services on 2005-07-28.
As of what date were the Dominic Mack's details last updated?
The information pertaining to the Dominic Mack, including its address, specialty, and other details, was most recently updated on 2019-05-13.