ST DOMINIC MEDICAL ASSOCIATES LLC

JACKSON, MS
NPI1831342054
Doing Business AsCARDIOVASCULAR SURGERY ASSOCIATES
Entity TypeOrganization
Authorized ContactDANIELLE STUART
Credentialing Representative 2
601-200-4880
Organization Subpart ?Yes
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date2008-10-31
Last Update Date2021-06-16
Business Address
ST DOMINIC MEDICAL ASSOCIATES LLC
970 LAKELAND DR STE 61
JACKSON, MS 39216-4634
Phone number: 601-200-2780
Mailing Address
ST DOMINIC MEDICAL ASSOCIATES LLC
PO BOX 23666
JACKSON, MS 39225-3666
Phone number: 601-200-2780