Organization · Type 2 NPI

ST Dominic Medical Associates

Family Medicine Physician · Clinton, MS

NPI number 1194010850 Active

Practice location

950 Highway 80 E
Clinton, MS 39056-5203

Call (601) 200-2000 Map

Fax (601) 200-5929

Mailing address

PO Box 23666
Jackson, MS 39225-3666

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

Other family medicine physician providers in Clinton

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NPI record

NPI: 1194010850
Entity type: Organization (Type 2)
Issued: Jun 10, 2011
Last updated: Jun 10, 2011
Status: Active
Subpart: Yes of ST Dominic Jackson Memorial Hospital

Other names

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Retail Clinic - Clinton · doing business as

Authorized official

Jennifer Sinclair
VP of Finance
(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 1194010850

ST Dominic Medical Associates's National Provider Identifier is 1194010850, issued on Jun 10, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Clinton, MS. The record was last updated on Jun 10, 2011.