Organization
ST DOMINIC MEDICAL ASSOCIATES
Active
Parent organization
ST DOMINIC JACKSON MEMORIAL HOSPITAL
Other names
Martin Surgical Associates
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, JACKSON, MS 39216-4643
(601) 987-9007
(601) 987-9190
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/11/2012
Last updated
02/02/2012
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