St Dominic Medical Associates LLC
St Dominic Medical Associates LLC provides Gynecologic Oncology Physician services in Madison, Mississippi. Licensed in Mississippi. Registered with an NPI since 2014.
- Licensed in
- MS
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
106 Highland Way Ste 200Madison, MS 39110-6929 Not confirmed with CMS for 12 years — call before visiting
Phone: (601) 200-7465
Fax: (601) 200-5929
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gynecologic Oncology Physician (primary) | Taxonomy 207VX0201X · Licence 14863 (MS) |
|---|---|
| Surgical Oncology Physician | Taxonomy 2086X0206X · Licence 14786 (MS) |
Record details
| NPI number | 1316361686 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | St Dominic Jackson Memorial Hospital |
| Authorized official | Jennifer Sinclair — President Of Sdma · (601) 200-6955 |
| Other names | St Dominic Surgical Oncology |
| NPI enumerated | February 7, 2014 |
| Last updated in NPPES | February 13, 2014 |
| Mailing address | Po Box 23666, Jackson, MS 39225-3666 |