St. Dominic Medical Associates LLC
NPI #1710040712 in Flowood, Mississippi
Provider Information
- NPI Number
- 1710040712
- Entity Type
- Organization
- Organization Name
- St. Dominic Medical Associates LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 19, 2006
- Last Updated
- Jul 16, 2019
Practice Location
- Address
- 1050 RIVER OAKS DR
- Address 2
- SUITE 100
- City
- Flowood
- State
- Mississippi
- ZIP Code
- 39232-9564
- Phone
- (601) 200-4760
Authorized Official
- Name
- DANIELLE STUART
- Title
- CREDENTIALING SPECIALIST
- Phone
- (601) 200-4880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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