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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 Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ST DOMINIC MEDICAL ASSOCIATES LLC

NPI # 1356732481
LBN Legal business name ST DOMINIC MEDICAL ASSOCIATES LLC
Authorized official JENNIFER SINCLAIR - (PRESIDENT OF SDMA)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/11/2015
Last updated 02/11/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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