Organization · Type 2 NPI

ST Dominic Medical Associates LLC

Urology Physician · Jackson, MS

NPI number 1689063067 Active

Practice location

971 Lakeland Dr, Suite 360
Jackson, MS 39216-4643

Call (601) 200-4370 Map

Fax (601) 200-4375

Mailing address

PO Box 23666
Jackson, MS 39225-3666

Specialties and licenses

TaxonomyCodeLicense
Urology Physician 208800000X11495 (MS)
Urology Physician Primary 208800000X13524 (MS)
Urology Physician 208800000X09524 (MS)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1689063067

ST Dominic Medical Associates LLC's National Provider Identifier is 1689063067, issued on Jan 22, 2015. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Jackson, MS. The record was last updated on Jun 17, 2016.