OrganizationActive
St Dominic Medical Associates
NPI 1346510559 · Gynecologic Oncology Physician · Jackson, MS
Provider details
- NPI number
- 1346510559
- Entity type
- Organization
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- St Dominic Jackson Memorial Hospital
- Organization subpart
- Yes
- Authorized official
- Danielle Stuart, Credentialing Specialist(601) 200-4880
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
971 Lakeland Dr
Suite 750
Jackson, MS 39216-4643
Phone: (601) 200-4970
Fax: (601) 200-5943
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 23666
Jackson, MS 39225-3666
Other names (DBA / former)
- Doing business as
- St Dominic'S Gynecologic Oncology
- Doing business as
- St Dominic'S Gynecologic Oncology
Registry dates
- Enumerated
- 2012-01-04
- Last updated
- 2021-03-16
- Certified
- 2021-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.