St Dominic Neuroscience Center

LBN: St Dominic Medical Associates Llc
St Dominic Neuroscience Center is an health care organization with primary practice located at 971 Lakeland Dr Suite 557, Jackson MS 39216-4643. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. St Dominic Medical Associates Llc can be contacted via phone (601) 200-4560, or through Stuart, Danielle via phone (601) 200-4880.

Contact Information

Primary practice address
971 Lakeland Dr Suite 557 Jackson MS 39216-4643
Phone: (601) 200-4560
Fax: (601) 200-4850
Website:
Map and Directions
Authorized official contact:
Name: Stuart, Danielle
Phone: (601) 200-4880

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 21151 Mississippi

Profile Details

NPI number 1215350152
LBN Legal business name St Dominic Medical Associates Llc
DBA Doing business as St Dominic Neuroscience Center
Authorized official Stuart, Danielle
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 29th, 2014
Last updated Oct 28th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215350152 NPPES
Mississippi MEDICAID 07430597

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