Organization · Type 2 NPI

St. Dominic Medical Associates LLC

Neurological Surgery Physician · Jackson, MS

NPI number 1174686182 Active

Practice location

971 Lakeland Dr. Suite 1250
Jackson, MS 39216-0000

Call (601) 200-5955 Map

Fax (601) 200-5943

Mailing address

PO Box 23666
Jackson, MS 39225-3666

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: 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 supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1174686182

St. Dominic Medical Associates LLC's National Provider Identifier is 1174686182, issued on Dec 19, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Jackson, MS. The record was last updated on Jun 28, 2016.