NPI 1285987578

St Dominic Medical Associates LLC

Organisation Hospitalist Physician Jackson, MS

Practice location

Address: 969 Lakeland Dr, Jackson, MS 39216
Phone: (601) 200-5900
Fax: (601) 200-0204
Mailing address: PO Box 23666, Jackson, MS 39225-3666

Authorised official

Name: Danielle Stuart
Title: Credentialing Representative 2
Phone: (601) 200-4880

Registered specialties

Hospitalist Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208M00000X

Other Hospitalist providers in Mississippi →

Registry record

NPI: 1285987578
Entity type: Organization
NPI issued: 24 Oct 2012
Record last updated: 21 Mar 2022

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.