St. Dominic Medical Associates LLC
NPI #1407920549 in Jackson, Mississippi
Provider Information
- NPI Number
- 1407920549
- Entity Type
- Organization
- Organization Name
- St. Dominic Medical Associates LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ST DOMINC JACKSON MEMORIAL HOSPITAL
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Nov 18, 2021
Practice Location
- Address
- 969 LAKELAND DR
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4606
- Phone
- (601) 200-4749
Authorized Official
- Name
- DANIELLE STUART
- Title
- CREDENTIALING SPECIALIST
- Phone
- (601) 200-4880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Surgical Critical Care — Surgical Critical Care |
| Urology |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Pain Medicine - Pain Medicine — Pain Medicine |
| Neurological Surgery |
| Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology |
| Otolaryngology |
| Psychiatry & Neurology - Neurology — Neurology |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Family Medicine |
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