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 Urology organization located in JACKSON, Mississippi. NPI 1689063067 is currently active in the NPPES registry. Verify at CMS.
Urology · JACKSON, MS
Registration Details
- NPI Number
- 1689063067
- Provider Type
- Organization
- NPI Issued
- Jan 22, 2015 (11.584221876766 yrs)
- Last Updated
- Jun 17, 2016
- Licenses
-
09524 (MS)11495 (MS)13524 (MS)
Practice Information
- Address
-
971 LAKELAND DRSUITE 360JACKSON, MS, 392164643Browse MS providers · Browse ZIP 39216
- Phone
- 6012004370
- Fax
- 6012004375
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
- Additional Specialty
- Urology
Other Urology Organizations in JACKSON, MS
| Name | NPI |
|---|---|
| MISSISSIPPI UROLOGY CLINIC, PLLC | 1902837313 |
| METROPOLITAN UROLOGY, PA | 1851305700 |
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.