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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

ST. DOMINIC MEDICAL ASSOCIATES LLC is a Family Medicine organization located in JACKSON, Mississippi. NPI 1407920549 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · JACKSON, MS

Registration Details

NPI Number
1407920549
Provider Type
Organization
NPI Issued
Nov 20, 2006 (19.705582229118 yrs)
Last Updated
Nov 18, 2021

Practice Information

Address
969 LAKELAND DR
JACKSON, MS, 392164606
Browse MS providers · Browse ZIP 39216
Phone
6012004749
Fax
6012005929
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Urology
Additional Specialty
Vascular Surgery
Additional Specialty
Neurological Surgery
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.