Organization
ST DOMINIC MEDICAL ASSOCIATES LLC
Active
Parent organization
ST DOMINIC JACKSON MEMEORIAL HOSPITAL
Other names
EMPLOYEE HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST DOMINIC JACKSON MEMEORIAL HOSPITAL
Authorized official
MS. JENNIFER SINCLAIR (CHIEF FINANCIAL OFFICER)
(601) 200-2000
Entity
Organization
Contact information
Practice address
971 LAKELAND DR, JACKSON, MS 39216-4643
(601) 200-6444
(601) 200-6442
Mailing address
971 LAKELAND DR, JACKSON, MS 39216-4643
(601) 200-6444
(601) 200-6442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1000032425
MS
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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