Organization
ST DOMINIC MEDICAL ASSOCIATES
Active
Parent organization
ST DOMINIC JACKSON MEMORIAL HOSPITAL
Other names
St Dominic Infectious Disease Group
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
971 LAKELAND DR STE 954, JACKSON, MS 39216-4609
(601) 200-4714
(601) 200-4718
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02122371
—
MS
Enumeration date
07/26/2011
Last updated
06/17/2016
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