ST DOMINIC MEDICAL ASSOCIATES LLC is a family medicine in Raleigh, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST DOMINIC MEDICAL ASSOCIATES LLC NPI is 1083032171. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Dominic Raleigh Family Practice.
The provider's business location address is:
342 MAGNOLIA DR
RALEIGH, MS
ZIP 39153-012
Phone: (601) 200-6809
Fax: (601) 200-5929
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 CLIA number assigned to this NPI record is 25D2077095 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/4/2014 and was last updated on 7/2/2019.