National Provider Identifier Database

ST DOMINIC MEDICAL ASSOCIATES LLC
Rheumatology

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.


Contact Information

ST DOMINIC MEDICAL ASSOCIATES LLC
971 LAKELAND DR
SUITE
JACKSON, MS39216-4643
Phone: 601-200-4749
Fax: 601-200-5929
Website:
Specialty Taxonomy Code
* Rheumatology 207RR0500X

* Indicates primary specialty

NPI Profile & details for ST DOMINIC MEDICAL ASSOCIATES LLC

NPI Number 1356732481
Legal business name
LBN
ST DOMINIC MEDICAL ASSOCIATES LLC
Authorized official JENNIFER SINCLAIR - (PRESIDENT OF SDMA)
Entity Organization
Organization subpart Yes
Enumeration date 02/11/2015
Last updated 02/11/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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