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ST DOMINIC MEDICAL ASSOCIATES LLC NPI 1174757017


NPI Information

NPI: 1174757017
Provider Name: ST DOMINIC MEDICAL ASSOCIATES LLC

Doing Business As: EAR NOSE AND THROAT SURGICAL GROUP

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
970 LAKELAND DR
SUITE 40
JACKSON, MS
ZIP 39216
Phone: (601) 200-4850
Get Directions

ST DOMINIC MEDICAL ASSOCIATES LLC is an otolaryngology in Jackson, MS. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. ST DOMINIC MEDICAL ASSOCIATES LLC NPI is 1174757017. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ear Nose And Throat Surgical Group.

The provider's business location address is:

970 LAKELAND DR
SUITE 40
JACKSON, MS
ZIP 39216-635
Phone: (601) 200-4850
Fax: (601) 200-4838

The provider's authorized official is Jennifer Sinclair .
The authorized official title is Vice President Of Finance and has the following contact phone number (601) 200-2000.

The enumeration date for this NPI number is 5/6/2009 and was last updated on 12/18/2013.


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
1207Y00000XOtolaryngologyMISSISSIPPIYes

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: 11/14/2023

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