NPI 1104362292
St. Dominic Hospital Medicine LLC
Practice location
- Address
- 969 Lakeland Dr, Jackson, MS 39216-4606
- Phone
- (601) 200-4644
- Fax
- (601) 200-4645
- Mailing address
- PO Box 23666, Jackson, MS 39225-3666
Authorised official
- Name
- Jennifer Sinclair
- Title
- President of Sdma
- Phone
- (601) 200-6955
Registered specialties
Hospitalist Physician
Primary
Registry record
- NPI
- 1104362292
- Entity type
- Organization
- NPI issued
- 12 Jan 2017
- Record last updated
- 19 Sep 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.