Individual provider · Type 1 NPI

Dominique Mack, PA-C

Physician Assistant · Thomasville, GA

NPI number 1992575617 Active

Practice location

334 Smith Ave
Thomasville, GA 31792-5533

Call (229) 227-1595 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X13682 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1992575617

Dominique Mack, PA-C's National Provider Identifier is 1992575617, issued on Jan 3, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Thomasville, GA. The record was last updated on May 8, 2026.