Newallo, Domnique S

Newallo, Domnique S is an sole proprietor health care provider with primary practice located at 100 Woodruff Cir Ne , Atlanta GA 30322-4607. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is her primary health care specialty. Newallo, Domnique S can be contacted via phone (678) 362-2475.

Contact Information

Primary practice address
100 Woodruff Cir Ne Atlanta GA 30322-4607
Phone: (678) 362-2475
Fax: (678) 807-5414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 81677 Georgia
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 81677 Georgia

Profile Details

NPI number 1316478241
LBN Legal business name Newallo, Domnique S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2017
Last updated May 13th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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