Organization
ST. DOMINIC MEDICAL ASSOCIATES, 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 (VP OF FINANCE)
(601) 200-4749
Entity
Organization
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-4749
(601) 200-5929
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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