Organization · Type 2 NPI

ST Dominic Medical Associates LLC

Interventional Pain Medicine Physician · Jackson, MS

NPI number 1124452859 Active

Practice location

970 Lakeland Dr, Suite 45
Jackson, MS 39216-4635

Call (601) 200-4690 Map

Fax (601) 200-4698

Mailing address

PO Box 23666
Jackson, MS 39225-3666

Specialties and licenses

Taxonomy	Code	License
Interventional Pain Medicine Physician Primary	208VP0014X	None listed

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

29 other providers at this address

Other interventional pain medicine physician providers in Jackson

Dr. Jeff Summers PAInterventional Pain Medicine Physician Jackson, MS NPI 1003025412

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NPI record

NPI: 1124452859
Entity type: Organization (Type 2)
Issued: Aug 29, 2013
Last updated: Feb 4, 2015
Status: Active
Subpart: Yes of ST Dominic Jackson Memorial Hospital

Other names

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ST Dominic Pain Management Center · doing business as

Authorized official

Jennifer Sinclair
President of Sdma
(601) 200-2000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124452859

ST Dominic Medical Associates LLC's National Provider Identifier is 1124452859, issued on Aug 29, 2013. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Jackson, MS. The record was last updated on Feb 4, 2015.