Organization
ST. DOMINIC MEDICAL ASSOCIATES INC
Active
Parent organization
ST. DOMINIC JACKSON MEMORIAL HOSPITAL
Other names
Family Practice Associates Madison
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. DOMINIC JACKSON MEMORIAL HOSPITAL
Authorized official
JENNIFER SINCLAIR (VICE PRESIDENT OF FINANCE)
(601) 200-2000
Entity
Organization
Contact information
Practice address
106 HIGHLAND WAY, SUITE 103, MADISON, MS 39110-6929
(601) 200-4750
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MS
Other
Enumeration date
06/10/2009
Last updated
12/18/2013
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