Dominion Health Services, LLC
NPI #1053205856 in Petal, Mississippi
Provider Information
- NPI Number
- 1053205856
- Entity Type
- Organization
- Organization Name
- Dominion Health Services, LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Jun 5, 2025
- Last Updated
- Jun 5, 2025
Practice Location
- Address
- 53 SWEET MAPLE TRL
- City
- Petal
- State
- Mississippi
- ZIP Code
- 39465-5003
- Phone
- (601) 441-2975
Authorized Official
- Name
- DR. BILLY WAYNE JEFFERSON JR., DO
- Title
- OWNER
- Phone
- (601) 441-2975
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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