NPI 1174686182

St. Dominic Medical Associates LLC

Organisation Neurological Surgery Physician Jackson, MS

Practice location

Address: 971 Lakeland Dr. Suite 1250, Jackson, MS 39216-0000
Phone: (601) 200-5955
Fax: (601) 200-5943
Mailing address: PO Box 23666, Jackson, MS 39225-3666

Authorised official

Name: Jennifer Sinclair
Title: President of Sdma
Phone: (601) 200-6955

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

Other Neurological Surgery providers in Mississippi →

Registry record

NPI: 1174686182
Entity type: Organization
NPI issued: 19 Dec 2006
Record last updated: 28 Jun 2016

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.