Organization · Type 2 NPI

St. Dominic Medical Associates LLC

Family Medicine Physician · Madison, MS

NPI number 1245393255 Active

Practice location

106 Highland Way, Suite 103
Madison, MS 39110-6929

Call (601) 200-4750 Map

Fax (601) 200-4740

Mailing address

PO Box 23666
Jackson, MS 39225-3666

Other practice locations

286 Calhoun Station Parkway, Madison, MS 39110 · (601) 200-4321

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.

14 other providers at this address

Other family medicine physician providers in Madison

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NPI record

NPI: 1245393255
Entity type: Organization (Type 2)
Issued: Dec 19, 2006
Last updated: Aug 31, 2018
Status: Active

Other names

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ST Dominic Family Practice Associates Gluckstadt · doing business as
ST Dominic Family Practice Associates Madison · doing business as
ST Dominic Family Practice Associates Madison · doing business as

Authorized official

Danielle Stuart
Credentialing Specialist
(601) 200-4880

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 1245393255

St. Dominic Medical Associates LLC's National Provider Identifier is 1245393255, issued on Dec 19, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Madison, MS. The record was last updated on Aug 31, 2018.