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Organization
ST. DOMINIC HOSPITAL MEDICINE LLC
Active
Organization
ST. DOMINIC HOSPITAL MEDICINE LLC
Active
Parent organization
ST. DOMINIC JACKSON MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. DOMINIC JACKSON MEMORIAL HOSPITAL
Authorized official
JENNIFER SINCLAIR (PRESIDENT OF SDMA)
(601) 200-6955
Entity
Organization
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-4644
(601) 200-4645
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
01/12/2017
Last updated
09/19/2017
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