Organization · Type 2 NPI

St. Dominic Medical Associates LLC

Gastroenterology Physician · Jackson, MS

NPI number 1902374085 Active

Practice location

971 Lakeland Dr Ste 250
Jackson, MS 39216-4620

Fax (601) 200-4887

Specialties and licenses

Taxonomy	Code	License
Gastroenterology Physician Primary	207RG0100X	None listed

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

8 other providers at this address

Other gastroenterology physician providers in Jackson

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NPI record

NPI: 1902374085
Entity type: Organization (Type 2)
Issued: Nov 7, 2018
Last updated: Dec 22, 2022
Status: Active
Subpart: Yes of St. Dominic-Jackson Memorial Hospital

Other names

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St. Dominic Gastroenterology · doing business as
St. Dominic Gastroenterology · doing business as

Authorized official

Danielle Stuart
Credentialing Specialist
(601) 200-4880

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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 1902374085

St. Dominic Medical Associates LLC's National Provider Identifier is 1902374085, issued on Nov 7, 2018. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Jackson, MS. The record was last updated on Dec 22, 2022.