Individual
MARIA PAULA DOMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1410 E WOODROW WILSON AVE, JACKSON, MS 39216-4500
(601) 984-5185
(601) 815-5660
Mailing address
504 CLINTON CENTER DR STE 4300, CLINTON, MS 39056-5610
(601) 984-5185
(601) 984-5190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
28767
MS
Other
Enumeration date
05/28/2015
Last updated
02/29/2024
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