| Dr Melania B Domingo, MD | |
|
510 Maple Dr, Vidalia, GA 30474-8912 | |
| (912) 537-9334 | |
| (912) 537-0019 |
| Full Name | Dr Melania B Domingo |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 510 Maple Dr, Vidalia, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740242023 | NPI | - | NPPES |
| 000014671A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 017919 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melania B Domingo, MD 510 Maple Dr, Vidalia, GA 30474-8912 Ph: (912) 537-9334 | Dr Melania B Domingo, MD 510 Maple Dr, Vidalia, GA 30474-8912 Ph: (912) 537-9334 |
Lauren Alene Beasley, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3193 E 1st St, Vidalia, GA 30474 Phone: 912-537-8588 | |
Diedra Michelle Joseph Baker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 |