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St Dominic Medical Associates Llc
Urology Physician in Jackson, Mississippi
NPI 1689063067

St Dominic Medical Associates Llc is a Urology Physician based in Jackson, MS. St Dominic Medical Associates Llc practices in Jackson, MS. The NPI Number for St Dominic Medical Associates Llc is 1689063067 and holds a License No. 11495 (Mississippi).

The current practice location address for St Dominic Medical Associates Llc is 971 Lakeland Dr, Jackson, MS and can be reached out via phone at 601-200-4370 and via fax at 601-200-4375.

Location: 971 Lakeland Dr, Jackson, MS, 39225-3666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689063067
Provider Name
St Dominic Medical Associates Llc
Credential
Provider Entity Type
Organization
Address
971 Lakeland Dr, Jackson, MS, 39225-3666
Phone Number
601-200-4370
Fax Number
601-200-4375
Provider Enumeration Date
01/22/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06782543 05 MS
institution
Provider Business Practice Location Address Details
Address
971 Lakeland Dr
City
Jackson
State
Mississippi
Zip
39216-4643
Phone Number
601-200-4370
Fax Number
601-200-4375
person
Provider Business Mailing Address Details
Address
971 Lakeland Dr
City
Jackson
State
Mississippi
Zip
39216-4643
Phone Number
601-200-4370
Fax Number
601-200-4375
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
11495 (Mississippi)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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