St Dominic Medical Associates, LLC
NPI #1639219595 in Clinton, Mississippi
Provider Information
- NPI Number
- 1639219595
- Entity Type
- Organization
- Organization Name
- St Dominic Medical Associates, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 7, 2007
- Last Updated
- Feb 25, 2013
Practice Location
- Address
- 728 CLINTON PARKWAY
- Address 2
- SUITE B
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-0000
- Phone
- (601) 200-4800
Authorized Official
- Name
- JENNIFER SINCLAIR
- Title
- PRESIDENT ST DOMINIC MEDICAL ASSOCI
- Phone
- (601) 200-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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