St Dominic Medical Associates LLC

NPI #1093032849 in Jackson, Mississippi

Provider Information

NPI Number: 1093032849
Entity Type: Organization
Organization Name: St Dominic Medical Associates LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ST DOMINIC JACKSON MEMORIAL HOSPITAL
Primary Specialty: Family Medicine
Enumeration Date: May 3, 2010
Last Updated: Dec 20, 2013

Practice Location

Address: 969 LAKELAND DR ST THOMAS HALL
City: Jackson
State: Mississippi
ZIP Code: 39216-4606
Phone: (601) 200-3110

Authorized Official

Name: JENNIFER SINCLAIR
Title: CHIEF FINANCIAL OFFICER
Phone: (601) 200-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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