| NPI | 1215350152 |
|---|---|
| Doing Business As | ST DOMINIC NEUROSCIENCE CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIELLE STUART Credentialing Specialist 601-200-4880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 21151) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2019-10-28 |