NPI 1124452859

St Dominic Medical Associates LLC

Organisation Interventional Pain Medicine Physician Jackson, MS

Practice location

Address: 970 Lakeland Dr Suite 45, Jackson, MS 39216-4635
Phone: (601) 200-4690
Fax: (601) 200-4698
Mailing address: PO Box 23666, Jackson, MS 39225-3666

Authorised official

Name: Jennifer Sinclair
Title: President of Sdma
Phone: (601) 200-2000

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Mississippi →

Registry record

NPI: 1124452859
Entity type: Organization
NPI issued: 29 Aug 2013
Record last updated: 4 Feb 2015

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.