ST DOMINIC MEDICAL ASSOCIATES LLC NPI 1215350152

NPI Information

ST DOMINIC MEDICAL ASSOCIATES LLC is a neurology psychiatry neurology in Jackson, MS. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. ST DOMINIC MEDICAL ASSOCIATES LLC NPI is 1215350152. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Dominic Neuroscience Center.

The provider's business location address is:

971 LAKELAND DR
SUITE 557
JACKSON, MS
ZIP 39216-643
Phone: (601) 200-4560
Fax: (601) 200-4850

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 1/29/2014 and was last updated on 10/28/2019.

Taxonomy Codes

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Other Identifiers

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