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ST DOMINIC MEDICAL ASSOCIATES LLC NPI 1447577291


NPI Information

NPI: 1447577291
Provider Name: ST DOMINIC MEDICAL ASSOCIATES LLC

Doing Business As: EMPLOYEE HEALTH CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
971 LAKELAND DR
JACKSON, MS
ZIP 39216
Phone: (601) 200-6444
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ST DOMINIC MEDICAL ASSOCIATES LLC is a family medicine in Jackson, 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 1447577291. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Employee Health Clinic.

The provider's business location address is:

971 LAKELAND DR
JACKSON, MS
ZIP 39216-643
Phone: (601) 200-6444
Fax: (601) 200-6442

The provider's authorized official is Jennifer Sinclair .
The authorized official title is Chief Financial Officer and has the following contact phone number (601) 200-2000.

The enumeration date for this NPI number is 5/3/2010 and was last updated on 5/3/2010.


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
1207Q00000XFamily Medicine1000032425MISSISSIPPIYes

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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