Organization
ST DOMINIC MEDICAL ASSOCIATES LLC
Active
Parent organization
ST DOMINIC JACKSON MEMORIAL HOSPITAL
Other names
CHRONIC CARE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST DOMINIC JACKSON MEMORIAL HOSPITAL
Authorized official
JENNIFER SINCLAIR (CHIEF FINANCIAL OFFICER)
(601) 200-2000
Entity
Organization
Contact information
Practice address
969 LAKELAND DR ST THOMAS HALL, JACKSON, MS 39216-4606
(601) 200-3110
(601) 200-3109
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
12/20/2013
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