Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ST DOMINIC MEDICAL ASSOCIATES LLC
Active OrganizationST DOMINIC MEDICAL ASSOCIATES LLC is a Interventional Vascular Surgery organization located in JACKSON, Mississippi. NPI 1124452859 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · JACKSON, MS
Registration Details
- NPI Number
- 1124452859
- Provider Type
- Organization
- NPI Issued
- Aug 29, 2013 (12.969414016979 yrs)
- Last Updated
- Feb 4, 2015
Practice Information
- Address
-
970 LAKELAND DRSUITE 45JACKSON, MS, 392164635Browse MS providers · Browse ZIP 39216
- Phone
- 6012004690
- Fax
- 6012004698
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
Other Interventional Vascular Surgery Organizations in JACKSON, MS
| Name | NPI |
|---|---|
| DR. JEFF SUMMERS PA | 1003025412 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.