St. Dominic Medical Associates Llc in Jackson - Neurological Surgery
St. Dominic Medical Associates Llc - NPI 1174686182
St. Dominic Medical Associates Llc is a Neurological Surgery in Jackson, Mississippi. St. Dominic Medical Associates Llc practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for St. Dominic Medical Associates Llc is 1174686182. The last update date is 2016-06-28.
St. Dominic Medical Associates Llc's current location address is 971 Lakeland Dr. Suite 1250, Jackson, Mississippi. You can contact this provider via phone number 6012005955 and fax number 6012005943. The mailing address for St. Dominic Medical Associates Llc is 971 Lakeland Dr. Suite 1250, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Dominic Medical Associates Llc |
|---|---|
| Address | 971 Lakeland Dr. Suite 1250, Jackson, Mississippi |
| Phone Number | 6012005955 |
| Fax Number | 6012005943 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sinclair Jennifer |
| Telephone Number | 6012006955 |
NPI Number Detail
| NPI Number | 1174686182 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2016-06-28 |
Provider Mailing Address Detail
| Address | 971 Lakeland Dr. Suite 1250 |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392160000 |
| Phone Number | 6012005955 |
| Fax Number | 6012005943 |
Provider's Primary Taxonomy Detail
| Speciality | Neurological Surgery |
|---|---|
| Taxonomy | 207T00000X |
|
Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1600341 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to St. Dominic Medical Associates Llc by the Centers for Medicare & Medicaid Services?
The St. Dominic Medical Associates Llc has been issued the NPI (National Provider Identifier) 1174686182 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the St. Dominic Medical Associates Llc located?
The St. Dominic Medical Associates Llc is located at 971 Lakeland Dr. Suite 1250, Jackson, MS 392160000.
What is St. Dominic Medical Associates Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The St. Dominic Medical Associates Llc's area of specialization is Neurological Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174686182 to St. Dominic Medical Associates Llc?
The St. Dominic Medical Associates Llc received its 1174686182 assignment from the Centers for Medicare & Medicaid Services on 2006-12-19.
As of what date were the details related to St. Dominic Medical Associates Llc most recently updated or revised?
The information pertaining to St. Dominic Medical Associates Llc, including its address, specialty, and other relevant details, was last updated or revised on 2016-06-28.
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