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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ST DOMINIC MEDICAL ASSOCIATES LLC

Active Organization

Otolaryngology · JACKSON, MS

Registration Details

NPI Number
1174757017
Provider Type
Organization
NPI Issued
May 6, 2009 (16.959833705032 yrs)
Last Updated
Dec 18, 2013

Practice Information

Address
970 LAKELAND DR
SUITE 40
JACKSON, MS, 392164635
Browse MS providers · Browse ZIP 39216
Phone
6012004850
Fax
6012004838
Primary Specialty
Otolaryngology
207Y00000X
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.