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Organization

ST DOMINIC MEDICAL ASSOCIATES LLC

Active
Parent organization
ST DOMINIC JACKSON MEMORIAL HOSPITAL
Other names
St Dominic Rheumatology
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST DOMINIC JACKSON MEMORIAL HOSPITAL
Authorized official
JENNIFER SINCLAIR (PRESIDENT OF SDMA)
(601) 200-2000
Entity
Organization

Contact information

Practice address
971 LAKELAND DR, SUITE, JACKSON, MS 39216-4643
(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
207RR0500X
Rheumatology Physician
Primary
MS

Other

Enumeration date
02/11/2015
Last updated
02/11/2015
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