St Dominic Medical Associates

NPI #1669742417 in Jackson, Mississippi

Provider Information

NPI Number: 1669742417
Entity Type: Organization
Organization Name: St Dominic Medical Associates
Subpart: Yes (part of a larger organization)
Parent Organization: ST DOMINIC JACKSON MEMORIAL HOSPITAL
Primary Specialty: Surgery
Enumeration Date: Jan 11, 2012
Last Updated: Feb 2, 2012

Practice Location

Address: 971 LAKELAND DR
City: Jackson
State: Mississippi
ZIP Code: 39216-4643
Phone: (601) 987-9007

Authorized Official

Name: JENNIFER SINCLAIR
Title: VP OF FINANCE
Phone: (601) 200-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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