Organization · Type 2 NPI

St. Dominic Medical Associates, LLC

Neurology Physician · Jackson, MS

NPI number 1083989412 Active

Practice location

969 Lakeland Dr
Jackson, MS 39216-4606

Call (601) 200-4749 Map

Fax (601) 200-5929

Mailing address

PO Box 23666
Jackson, MS 39225-3666

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400XNone listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1083989412

St. Dominic Medical Associates, LLC's National Provider Identifier is 1083989412, issued on Mar 19, 2012. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Jackson, MS. The record was last updated on Mar 19, 2012.