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ST. DOMINIC MEDICAL ASSOCIATES LLC NPI 1902374085


NPI Information

NPI: 1902374085
Provider Name: ST. DOMINIC MEDICAL ASSOCIATES LLC

Doing Business As: ST. DOMINIC GASTROENTEROLOGY

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
971 LAKELAND DR STE 250
JACKSON, MS
ZIP 39216
Phone: (601) 200-5550
Get Directions

ST. DOMINIC MEDICAL ASSOCIATES LLC is a gastroenterology internal medicine in Jackson, MS. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. ST. DOMINIC MEDICAL ASSOCIATES LLC NPI is 1902374085. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Dominic Gastroenterology.

The provider's business location address is:

971 LAKELAND DR STE 250
JACKSON, MS
ZIP 39216-620
Phone: (601) 200-5550
Fax: (601) 200-4887

The provider's authorized official is Danielle Stuart .
The authorized official title is Credentialing Specialist and has the following contact phone number (601) 200-4880.

The enumeration date for this NPI number is 11/7/2018 and was last updated on 12/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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