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JOSEPH VINCENT BAUTISTA DOROMAL NP
NPI 1891286928
Nurse Practitioner in Canton, GA

Active since May 24, 2018
111 MOUNTAIN BROOK DR, CANTON, GA 30115(678) 880-9654 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph Vincent Bautista Doromal Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH VINCENT BAUTISTA DOROMAL NP (NPI 1891286928) is an individual nurse practitioner in Canton, Georgia, licensed in Georgia (RN240795) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1891286928
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJOSEPH VINCENT BAUTISTA DOROMALCredential: NP
Location Address111 MOUNTAIN BROOK DRCanton, GA 30115-9045
Mailing Address111 Mountain Brook DrCanton, GA 30115-9045 · (678) 880-9654
Phone(678) 880-9654
Sole ProprietorNo
Enumeration DateMay 24, 2018
✔ NPI 1891286928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN240795
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
111 MOUNTAIN BROOK DR, Canton, GA 30115
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RITA NAGAWA
Physician Assistant
111 MOUNTAIN BROOK DR
CANTON, GA 30115
Cherokee County (678) 880-9654
GINA PAPA
Nurse Practitioner (Family)
111 MOUNTAIN BROOK DR
CANTON, GA 30115
Cherokee County (678) 880-9654
MARY KATHERINE THRASH WHITE NP
Pediatrics
111 MOUNTAIN BROOK DR
CANTON, GA 30115
Cherokee County (678) 880-9654
KRISTEN GRACE VAN WATERS FNP-BC
Nurse Practitioner (Family)
111 MOUNTAIN BROOK DR
CANTON, GA 30115
Cherokee County (678) 880-9654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Vincent Doromal's NPI number?

The NPI number for Joseph Vincent Doromal is 1891286928. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Where is Joseph Vincent Doromal located?

Joseph Vincent Doromal practices at 111 Mountain Brook Dr, Canton, GA 30115. The listed phone number is (678) 880-9654.

What is Joseph Vincent Doromal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Joseph Vincent Doromal was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.