St Dominic Medical Associates LLC

NPI #1447577291 in Jackson, Mississippi

Provider Information

NPI Number: 1447577291
Entity Type: Organization
Organization Name: St Dominic Medical Associates LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ST DOMINIC JACKSON MEMEORIAL HOSPITAL
Primary Specialty: Family Medicine
Enumeration Date: May 3, 2010
Last Updated: May 3, 2010

Practice Location

Address: 971 LAKELAND DR
City: Jackson
State: Mississippi
ZIP Code: 39216-4643
Phone: (601) 200-6444

Authorized Official

Name: MS. 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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