St. Dominic Medical Associates, LLC

NPI #1326646845 in Madison, Mississippi

Provider Information

NPI Number: 1326646845
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: Dermatology
Enumeration Date: Oct 16, 2020
Last Updated: May 26, 2021

Practice Location

Address: 106 HIGHLAND WAY STE 208
City: Madison
State: Mississippi
ZIP Code: 39110-6929
Phone: (601) 200-3376

Authorized Official

Name: DANIELLE STUART
Title: CREDENTIALING SPECIALIST
Phone: (601) 200-4880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Terri Hayes Henson, MD	Dermatology	Southaven	AI Deep Dive
DR. Robert T Brodell, M.D.	Dermatology	Jackson	AI Deep Dive
Sam C Tumminello, MD	Dermatology	Natchez	AI Deep Dive
DR. Stephen E Helms, M.D.	Dermatology	Jackson	AI Deep Dive

Organizations

Provider Name	Specialty	City
Madison Medical Dermatology LLC	Dermatology	Madison	AI Deep Dive

Want to research this healthcare provider further?