Organization · Type 2 NPI

ST Dominic Medical Associates LLC

Otolaryngology Physician · Jackson, MS

NPI number 1174757017 Active

Practice location

970 Lakeland Dr, Suite 40
Jackson, MS 39216-4635

Call (601) 200-4850 Map

Fax (601) 200-4838

Mailing address

PO Box 23666
Jackson, MS 39225-3666

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XNone listed

Otolaryngology Physician: 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 and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1174757017

ST Dominic Medical Associates LLC's National Provider Identifier is 1174757017, issued on May 6, 2009. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Jackson, MS. The record was last updated on Dec 18, 2013.