Organization
RELIAS EMERGENCY MEDICINE SPECIALISTS OF ST DOMINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KATHRYN WAKEFORD (ENTERPRISE CFO)
(205) 901-5103
Entity
Organization
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(781) 280-1699
Mailing address
PO BOX 31037, CHARLOTTE, NC 28231-1037
(855) 691-9890
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
10/16/2025
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