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Organization
ST DOMINIC MEDICAL ASSOCIATES
Active
Organization
ST DOMINIC MEDICAL ASSOCIATES
Active
Parent organization
ST DOMINIC JACKSON MEMORIAL HOSPITAL
Other names
RETAIL CLINIC - MADISON
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST DOMINIC JACKSON MEMORIAL HOSPITAL
Authorized official
JENNIFER SINCLAIR (VP OF FINANCE)
(601) 200-2000
Entity
Organization
Contact information
Practice address
127 GRANDVIEW BLVD, MADISON, MS 39110-7595
(601) 200-2000
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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