# ST. DOMINIC MEDICAL ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. DOMINIC JACKSON MEMORIAL HOSPITAL
- **Other names:** Family Practice Associates Madison
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194951608
- **Legal business name:** ST. DOMINIC JACKSON MEMORIAL HOSPITAL
- **Authorized official:** JENNIFER SINCLAIR (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (601) 200-2000

## Contact information

- **Practice address:** 106 HIGHLAND WAY, SUITE 103, MADISON, MS 39110-6929
- **Practice address phone:** (601) 200-4750
- **Mailing address:** PO BOX 23666, JACKSON, MS 39225-3666
- **Mailing address phone:** (601) 200-4749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MS | Yes |

## Other

- **Enumeration date:** 06/10/2009
- **Last updated:** 12/18/2013