St Dominic Medical Associates LLC
NPI #1548698608 in Brandon, Mississippi
Provider Information
- NPI Number
- 1548698608
- 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
- Oct 28, 2013
- Last Updated
- Dec 30, 2016
Practice Location
- Address
- 1297 WEST GOVERNMENT STREET
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042
- Phone
- (601) 200-4790
Authorized Official
- Name
- JENNIFER SINCLAIR
- Title
- PRESIDENT OF SDMA
- Phone
- (601) 200-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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