MEDICARE: MRS. JUDY WU DOMINICK PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA02684	TX
2	363A00000X	Physician Assistant	6137	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	970013327	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	87N556	OTHER	TX	BLUE CROSS

General Provider Information

NPI Number	:	1013064427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUDY WU DOMINICK PA-C

Provider Business Mailing Address
First Line	:	2651 REDDING RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30319-2963
Country	:	US
Telephone Number	:	404-841-5466
Fax Number	:

Provider Business Practice Location Address
First Line	:	2651 REDDING RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30319-2963
Country	:	US
Telephone Number	:	404-841-5466
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	06/25/2012

Similar Medicare Providers

1649598640 — MRS. MARTHA STRICKLAND MATHER LPC
Practice Location Address:

525 GLEN IRIS DR NE , #2505
ATLANTA, GA
30308-2963

Practice Phone: 706-836-8914
Practice Fax:

1497037345 — THERMAL THERAPY MED SPA
Practice Location Address:

525 GLEN IRIS DR NE , #3425
ATLANTA, GA
30308-2963

Practice Phone: 404-819-0061
Practice Fax:

1194270389 — KELSEY ELIZABETH VAN CAMP PT, DPT
Practice Location Address:

525 GLEN IRIS DR NE , UNIT 3315
ATLANTA, GA
30308-2963

Practice Phone: 770-241-1235
Practice Fax:

1043078652 — TENSEGRITY REHABILITATION INC
Practice Location Address:

6400 POWERS FERRY RD STE 365
ATLANTA, GA
30339-2963

Practice Phone: 678-842-3767
Practice Fax: 678-284-2744

1518967918 — DR. MARIAN C. FINAN M.D.
Practice Location Address:

1200 LAKE HEARN DRIVE , SUITE 300
ATLANTA, GA
30319

Practice Phone: 404-851-1766
Practice Fax: 404-851-1767

1780684928 — STEPHEN F. TEMPLETON M.D.
Practice Location Address:

1200 LAKE HEARN DRIVE , SUITE 300
ATLANTA, GA
30319

Practice Phone: 404-851-1766
Practice Fax: 404-851-1767

Directions to “ MRS. JUDY WU DOMINICK PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.