IndividualActive
Angela Dominique, D.P.M.
NPI 1508972563 · Podiatrist · Fultondale, AL
Provider details
- NPI number
- 1508972563
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 180 (AL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
3524 Decatur Hwy
Suite 301
Fultondale, AL 35068-1366
Phone: (205) 631-3699
Fax: (205) 631-7325
Approximate (ZIP-level) locationGet directions
Mailing address
3524 Decatur Hwy
Fultondale, AL 35068-1366
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2016-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.