NPI 1174757017

St Dominic Medical Associates LLC

Organisation Otolaryngology Physician Jackson, MS

Practice location

Address: 970 Lakeland Dr Suite 40, Jackson, MS 39216-4635
Phone: (601) 200-4850
Fax: (601) 200-4838
Mailing address: PO Box 23666, Jackson, MS 39225-3666

Authorised official

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

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Mississippi →

Registry record

NPI: 1174757017
Entity type: Organization
NPI issued: 6 May 2009
Record last updated: 18 Dec 2013

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.