# ST DOMINIC MEDICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Practice Associates Clinton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639219595
- **Authorized official:** JENNIFER SINCLAIR (PRESIDENT ST DOMINIC MEDICAL ASSOCI)
- **Authorized official phone:** (601) 200-2000

## Contact information

- **Practice address:** 728 CLINTON PARKWAY, SUITE B, CLINTON, MS 39056-0000
- **Practice address phone:** (601) 200-4800
- **Practice address fax:** (601) 924-0473
- **Mailing address:** PO BOX 23666, JACKSON, MS 39225-3666
- **Mailing address phone:** (601) 200-4800
- **Mailing address fax:** (601) 924-0473

## Taxonomy

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

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 02/25/2013