St. Dominic Medical Associates Llc in Jackson - Otolaryngology
St. Dominic Medical Associates Llc - NPI 1407920549
St. Dominic Medical Associates Llc is a Otolaryngology in Jackson, Mississippi. St. Dominic Medical Associates Llc practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for St. Dominic Medical Associates Llc is 1407920549. The last update date is 2021-11-18.
St. Dominic Medical Associates Llc's current location address is Po Box 23666, Jackson, Mississippi. You can contact this provider via phone number 6012004749 and fax number 6012005929. The mailing address for St. Dominic Medical Associates Llc is Po Box 23666, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Dominic Medical Associates Llc |
|---|---|
| Address | Po Box 23666, Jackson, Mississippi |
| Phone Number | 6012004749 |
| Fax Number | 6012005929 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Stuart Danielle |
| Telephone Number | 6012004880 |
NPI Number Detail
| NPI Number | 1407920549 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2021-11-18 |
Provider Mailing Address Detail
| Address | Po Box 23666 |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392253666 |
| Phone Number | 6012004749 |
| Fax Number | 6012005929 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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What is the St. Dominic Medical Associates Llc's unique identification number?
The St. Dominic Medical Associates Llc has been assigned the NPI (National Provider Identifier) Number 1407920549 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where St. Dominic Medical Associates Llc is located?
The St. Dominic Medical Associates Llc is situated at the following address: Po Box 23666, Jackson, MS, 392253666.
What is the St. Dominic Medical Associates Llc's area of specialization and corresponding taxonomy classification?
The St. Dominic Medical Associates Llc's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
When was the St. Dominic Medical Associates Llc's 1407920549 issued?
The St. Dominic Medical Associates Llc's 1407920549 was issued on 2006-11-20.
When was the St. Dominic Medical Associates Llc's information last updated?
The St. Dominic Medical Associates Llc's information was last updated on 2021-11-18.
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