St Dominic Medical Associates, LLC
St Dominic Medical Associates, LLC provides Dermatology Physician services in Madison, Mississippi. Registered with an NPI since 2020.
- In the registry since
- 2020
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 208Madison, MS 39110-6929
Phone: (601) 200-3376
Fax: (601) 200-4475
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
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1326646845 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | St Dominic-Jackson Memorial Hospital |
| Authorized official | Danielle Stuart — Credentialing Specialist · (601) 200-4880 |
| Other names | St. Dominic Dermatology; St. Dominic Dermatology |
| NPI enumerated | October 16, 2020 |
| Last updated in NPPES | May 26, 2021 |
| Certification date | May 26, 2021 |
| Mailing address | Po Box 23666, Jackson, MS 39225-3666 |
Other providers in Madison
-
Madison Medical Dermatology LLC
1607 Doctor's Dr, Madison, MS 39110 · (769) 300-2100