HomeNPI Verification

NPI Verification

National Provider Identifier: 1689063067

St Dominic Medical Associates LLC

Organization

Primary Specialty

Urology

Code: 208800000X

All Specialties (3)

Urology

Code: 208800000X

Urology

Code: 208800000X

Urology

Code: 208800000X

Primary

Practice Address

PO BOX 23666

JACKSON, MS 392253666

Phone: 601-200-4749

NPI Enumeration Date

January 22, 2015

NPI Number

1689063067

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry